Individual
SHEREDA COKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12555 ORANGE DR, SUITE 222, DAVIE, FL 33330-4304
(954) 862-1707
Mailing address
1030 SW 46TH AVE, APT 204, POMPANO BEACH, FL 33069-0993
(954) 274-1248
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001365000
—
FL
Enumeration date
01/11/2011
Last updated
01/11/2011
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