MEDICARE: CARINE CHERY D.C.

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	111N00000X	Chiropractor	CH7518	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	55782	OTHER	FL	BLUE CROSS & BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801919444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARINE CHERY D.C.

Provider Business Mailing Address
First Line	:	1900 CRYSTAL DR
Second Line	:	SUITE 1
City	:	FORT MYERS
State	:	FL
Zip	:	33907-7707
Country	:	US
Telephone Number	:	239-936-6566
Fax Number	:	239-936-6442

Provider Business Practice Location Address
First Line	:	1900 CRYSTAL DR
Second Line	:	SUITE 1
City	:	FORT MYERS
State	:	FL
Zip	:	33907-7707
Country	:	US
Telephone Number	:	239-936-6566
Fax Number	:	239-936-6442

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

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	11/29/2016

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Directions to “ CARINE CHERY D.C.” Practice Location

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