Organization
CHERNESKY PATRICK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY SULLIVAN (OFFICE MANAGER)
(941) 629-1153
Entity
Organization
Contact information
Practice address
2826 TAMIAMI TRL STE 5, PORT CHARLOTTE, FL 33952-5167
(941) 629-1153
Mailing address
2826 TAMIAMI TRL STE 5, PORT CHARLOTTE, FL 33952-5167
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PO 1660
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029685600
—
FL
Enumeration date
03/06/2008
Last updated
05/07/2008
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