Healthcare Provider Details

I. General information

NPI: 1437828944
Provider Name (Legal Business Name): SHERIKA ISAAC NRCPT, CMA, CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2021
Last Update Date: 09/08/2021
Certification Date: 09/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 N LAUDERDALE AVE STE 300-H
NORTH LAUDERDALE FL
33068-2001
US

IV. Provider business mailing address

3350 NE 12TH AVE STE 70202
OAKLAND PARK FL
33334-4522
US

V. Phone/Fax

Practice location:
  • Phone: 954-226-7897
  • Fax:
Mailing address:
  • Phone: 954-226-7897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: