Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | 2984882 | FL |
NPI | 1336622174 |
---|---|
Provider Name | Ms. Cheryl Yvette Coleman |
First Address | Miami Gardens, FL 33179-1706 |
Second Address | North Miami Beach, FL 33162-4901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2018 |
Last Update Date | 07/09/2018 |