Provider Demographics
NPI:1184046062
Name:CENTER, SHERRY (ARNP-C)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:
Last Name:CENTER
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 N RONALD REAGAN BLVD STE 303
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-5902
Mailing Address - Country:US
Mailing Address - Phone:772-708-7822
Mailing Address - Fax:239-880-1008
Practice Address - Street 1:300 N RONALD REAGAN BLVD STE 303
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-5902
Practice Address - Country:US
Practice Address - Phone:772-708-7822
Practice Address - Fax:239-880-1008
Is Sole Proprietor?:No
Enumeration Date:2014-01-13
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1131122363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily