Individual
CHERYL BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
703 VIRGINIA ST, DUNEDIN, FL 34698-6615
(727) 734-4000
(727) 724-4110
Mailing address
703 VIRGINIA ST, DUNEDIN, FL 34698-6615
(727) 734-4000
(727) 724-4110
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9370324
FL
363LF0000X
Family Nurse Practitioner
9370324
MO
Other
Enumeration date
11/12/2013
Last updated
05/20/2014
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