Organization
CHERYL A. LUIS, PHD, ABPP-CN, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL ANN LUIS PHD (OWNER)
(954) 559-5073
Entity
Organization
Contact information
Practice address
450 N PARK RD, SUITE 502, HOLLYWOOD, FL 33021-6917
(954) 964-7701
(954) 653-1413
Mailing address
13251 SW 16TH CT, DAVIE, FL 33325-5740
(954) 559-5073
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PY 6436
FL
Other
Enumeration date
05/30/2011
Last updated
05/30/2011
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