Individual
CHERYL L. GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1650 MEDICAL LN, SUITE4, FORT MYERS, FL 33907-1116
(239) 334-6160
(239) 334-1339
Mailing address
12944 3RD ST, FORT MYERS, FL 33905-1916
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 657722
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811811600
—
FL
Enumeration date
02/15/2007
Last updated
02/23/2009
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