Individual
CHERRELLE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
558 NE 23RD CIR APT 2, OCALA, FL 34470-9262
(352) 361-7232
Mailing address
558 NE 23RD CIR APT 2, OCALA, FL 34470-9262
(352) 361-7232
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022795300
—
FL
Enumeration date
10/30/2017
Last updated
12/12/2017
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