Wayne, Cheryl Elaine

Wayne, Cheryl Elaine is an individual health care provider with primary practice located at 1505 Delaware Ave , Fort Pierce FL 34950-3975. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wayne, Cheryl Elaine can be contacted via phone (772) 461-1402.

Contact Information

Primary practice address
1505 Delaware Ave Fort Pierce FL 34950-3975
Phone: (772) 461-1402
Fax: (844) 540-4794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0067424 Florida

Profile Details

NPI number 1215938519
LBN Legal business name Wayne, Cheryl Elaine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Oct 28th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215938519 NPPES
Florida MEDICAID 379497100
Florida Other 26624

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