Individual
MRS. SHERRI ALAINE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.D.O.
Contact information
Practice address
621 SW BAYA DR, SUITE 101, LAKE CITY, FL 32025-4240
(386) 719-9292
(386) 754-6615
Mailing address
241 SE OAK ST, LAKE CITY, FL 32025-6841
(386) 623-0514
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO4171
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630349800
—
FL
Enumeration date
05/01/2007
Last updated
07/08/2007
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