Individual
MRS. CHERYL LYNN CAMPOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 265-9438
Mailing address
17072 NW 15TH ST, PEMBROKE PINES, FL 33028-1351
(954) 347-0922
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP972412
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306576600
—
FL
Enumeration date
06/28/2005
Last updated
03/12/2018
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