Fitzgerald, Cheryl G.
Fitzgerald, Cheryl G. is an sole proprietor health care provider with primary practice located at 14240 Sand Pine Ln , Panama City FL 32409-2559. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Fitzgerald, Cheryl G. can be contacted via phone (850) 265-5152.Contact Information
Primary practice address
14240 Sand Pine Ln
Panama City FL 32409-2559
Phone: (850) 265-5152
Fax: (850) 265-5152
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
| NPI number | 1760572432 |
|---|---|
| LBN Legal business name | Fitzgerald, Cheryl G. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Feb 28th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760572432 | NPPES |
| Florida | MEDICAID | 760632000 |
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