Individual
MS. CHERYL MARIE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2442 BLOOMINGDALE AVE, VALRICO, FL 33596-6403
(813) 586-8686
(813) 605-6089
Mailing address
2442 BLOOMINGDALE AVE, VALRICO, FL 33596-6403
(813) 586-8686
(813) 605-6089
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN3034522
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022566200
—
FL
01
—
3034522
FLORIDA LICENSE
FL
Enumeration date
02/15/2012
Last updated
03/14/2025
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