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NPI Code Detail

MEDICARE: CHERYL CASELLA ARNP

MEDICARE: CHERYL CASELLA ARNP
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
1363L00000XNurse Practitioner1573992FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972619765
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL CASELLA ARNP
Provider Business Mailing Address
First Line : 1630 S CONGRESS AVE STE 200
Second Line :
City : PALM SPRINGS
State : FL
Zip : 33461-2171
Country : US
Telephone Number : 561-253-3980
Fax Number : 561-253-3985
Provider Business Practice Location Address
First Line : 1630 S CONGRESS AVE STE 200
Second Line :
City : PALM SPRINGS
State : FL
Zip : 33461-2171
Country : US
Telephone Number : 561-253-3980
Fax Number : 561-253-3985
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2006
Last Update Date : 11/16/2020

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Directions to “ CHERYL CASELLA ARNP” Practice Location

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