Individual
CHERYL LAVERN HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10300 SW 216TH ST, CUTLER BAY, FL 33190-1003
(305) 253-5100
Mailing address
10300 SW 216TH ST, CUTLER BAY, FL 33190-1003
(305) 253-5100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME51226
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048141600
—
FL
05
—
120731000
—
FL
Enumeration date
06/12/2006
Last updated
10/04/2024
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