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Organization

EXTRACARE & WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KETTIA CADET CHERENFANT DNP (OWNER)
(321) 246-5358
Entity
Organization

Contact information

Practice address
1410 N PINE HILLS RD, ORLANDO, FL 32808-4408
(321) 246-5358
Mailing address
1410 N PINE HILLS RD, ORLANDO, FL 32808-4408

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary

Other

Enumeration date
07/31/2019
Last updated
07/15/2021
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