Provider Demographics
NPI:1225410459
Name:CHERY, MARC HELRY SR
Entity Type:Individual
Prefix:MR
First Name:MARC
Middle Name:HELRY
Last Name:CHERY
Suffix:SR
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:MARC
Other - Middle Name:HELRY
Other - Last Name:CHERY
Other - Suffix:SR
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:15657 SW 53RD ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-4984
Mailing Address - Country:US
Mailing Address - Phone:305-527-7760
Mailing Address - Fax:
Practice Address - Street 1:15657 SW 53RD ST
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-4984
Practice Address - Country:US
Practice Address - Phone:305-527-7760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-24
Last Update Date:2017-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9260181367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered