Provider Demographics
NPI:1083160642
Name:PIERRE, CHERLANDE (DC)
Entity Type:Individual
Prefix:
First Name:CHERLANDE
Middle Name:
Last Name:PIERRE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1507 LAKELAND HILLS BLVD STE 109
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33805-3205
Mailing Address - Country:US
Mailing Address - Phone:239-634-5991
Mailing Address - Fax:
Practice Address - Street 1:1507 LAKELAND HILLS BLVD STE 109
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33805
Practice Address - Country:US
Practice Address - Phone:863-940-4054
Practice Address - Fax:863-940-4519
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11919111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor