Individual
MRS. CHERYL ELAINE WAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1505 DELAWARE AVE, FORT PIERCE, FL 34950-3975
(772) 461-1402
(844) 540-4794
Mailing address
5827 CORPORATE WAY, WEST PALM BEACH, FL 33407-2000
(561) 844-9443
(561) 472-9692
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0067424
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26624
BS
FL
05
—
379497100
—
FL
Enumeration date
08/09/2005
Last updated
10/28/2019
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