Individual
TROY A CHEATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
440 N STATE ROAD 7, SUITE 103, ROYAL PALM BEACH, FL 33411-3514
(561) 798-6600
(561) 615-1958
Mailing address
10131 FOREST HILL BLVD STE 230, WELLINGTON, FL 33414-6109
(561) 798-6600
(561) 615-1958
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2934
FL
363AM0700X
Medical Physician Assistant
PA2934
FL
363AS0400X
Surgical Physician Assistant
Primary
PA0002934
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290228100
—
FL
Enumeration date
11/18/2005
Last updated
08/13/2012
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