Individual
CHERYLE JOY ULTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 CROSSROADS BLVD, WINTER HAVEN, FL 33881-8220
(863) 326-6790
Mailing address
1850 CROSSROADS BLVD, WINTER HAVEN, FL 33881-8220
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PT16654
FL
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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