=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487920708
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FRANTZ CHERY,M.D.,P.A.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/30/2012
-----------------------------------------------------
Last Update Date | 04/28/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4900 W OAKLAND PARK BLVD SUITE 201
-----------------------------------------------------
City | LAUDERDALE LAKES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33313-1501
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-533-8294
-----------------------------------------------------
Fax | 954-616-8394
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4900 W OAKLAND PARK BLVD SUITE 201
-----------------------------------------------------
City | LAUDERDALE LAKES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33313-1501
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-533-8294
-----------------------------------------------------
Fax | 954-616-8394
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. FRANTZ CHERY
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 954-790-8881
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208600000X
-----------------------------------------------------
Taxonomy Name | Surgery Physician
-----------------------------------------------------
License Number | ME50652
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------