Provider Demographics
NPI:1033573381
Name:CUTLER, CHERYL S
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:S
Last Name:CUTLER
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:CHERYL
Other - Middle Name:D
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6535 CANTERLEA DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32818-8862
Mailing Address - Country:US
Mailing Address - Phone:407-413-1190
Mailing Address - Fax:
Practice Address - Street 1:931 W KEENE RD
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-6962
Practice Address - Country:US
Practice Address - Phone:407-413-1190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-12
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker