Provider Demographics
NPI:1093942302
Name:DUNN, CHERI COLAGROSS (DO,OD,MPH)
Entity Type:Individual
Prefix:DR
First Name:CHERI
Middle Name:COLAGROSS
Last Name:DUNN
Suffix:
Gender:F
Credentials:DO,OD,MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 MACK BAYOU LOOP STE 101
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32459-7194
Mailing Address - Country:US
Mailing Address - Phone:850-267-3498
Mailing Address - Fax:850-267-3421
Practice Address - Street 1:141 MACK BAYOU LOOP STE 101
Practice Address - Street 2:
Practice Address - City:SANTA ROSA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32459-7194
Practice Address - Country:US
Practice Address - Phone:850-267-3498
Practice Address - Fax:850-267-3421
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-12
Last Update Date:2009-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS10285207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine