Healthcare Provider Details

I. General information

NPI: 1083700819
Provider Name (Legal Business Name): SONIA CHERIAN PHARM. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 05/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 TOWN CENTER DR SUITE 100
ORANGE CITY FL
32763-8311
US

IV. Provider business mailing address

281 BAYOU CIR
DEBARY FL
32713-4000
US

V. Phone/Fax

Practice location:
  • Phone: 386-774-7933
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPS41481
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: