Healthcare Provider Details

I. General information

NPI: 1962595652
Provider Name (Legal Business Name): RICHARD N CHERRY ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 08/22/2024
Certification Date: 08/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 S ORANGE AVE
ORLANDO FL
32806-2134
US

IV. Provider business mailing address

1414 KUHL AVE # MP38
ORLANDO FL
32806-2008
US

V. Phone/Fax

Practice location:
  • Phone: 321-841-1893
  • Fax: 321-841-1296
Mailing address:
  • Phone: 321-841-1893
  • Fax: 321-841-1296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP3031852
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN3031852
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: