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NPI Code Detail

MEDICARE: DR. ADAM CHERRY OD

MEDICARE:  DR. ADAM  CHERRY  OD
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
1152W00000XOptometristOPC2582FL

General Provider Information

NPI Number : 1518116268
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADAM CHERRY OD
Provider Business Mailing Address
First Line : 6216 NW 125TH AVE
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33076-1921
Country : US
Telephone Number : 954-708-9387
Fax Number : 561-721-0714
Provider Business Practice Location Address
First Line : 6486 LAKE WORTH RD
Second Line :
City : GREENACRES
State : FL
Zip : 33463-3008
Country : US
Telephone Number : 561-968-4942
Fax Number : 561-721-0714
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2008
Last Update Date : 09/17/2008

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