MEDICARE: RENEE CHEROWITZ M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH11472	FL

General Provider Information

NPI Number	:	1083934624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENEE CHEROWITZ M.S.

Provider Business Mailing Address
First Line	:	3420 CHAROW LN
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-7432
Country	:	US
Telephone Number	:	400-757-9660
Fax Number	:

Provider Business Practice Location Address
First Line	:	3420 CHAROW LN
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-7432
Country	:	US
Telephone Number	:	400-757-9660
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2010
Last Update Date	:	06/11/2015

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