Healthcare Provider Details

I. General information

NPI: 1053236240
Provider Name (Legal Business Name): LUDCHANA CHERENFANT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

277 W STATE ROAD 436
ALTAMONTE SPRINGS FL
32714-4228
US

IV. Provider business mailing address

221 NW 148TH ST
MIAMI FL
33168-4241
US

V. Phone/Fax

Practice location:
  • Phone: 407-389-6025
  • Fax:
Mailing address:
  • Phone: 786-318-8244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS70584
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: