Provider Demographics
NPI:1598970287
Name:MORALES, CHERI LYNN (ARNP, RCS)
Entity Type:Individual
Prefix:MRS
First Name:CHERI
Middle Name:LYNN
Last Name:MORALES
Suffix:
Gender:F
Credentials:ARNP, RCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 N ARMENIA AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6451
Mailing Address - Country:US
Mailing Address - Phone:813-877-4811
Mailing Address - Fax:813-872-8978
Practice Address - Street 1:9170 OAKHURST RD
Practice Address - Street 2:SUITE 1
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33776-2112
Practice Address - Country:US
Practice Address - Phone:727-517-3376
Practice Address - Fax:727-517-3370
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2224262363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE8385YOtherMEDICARE PTAN