Provider Demographics
NPI:1760441000
Name:YELVERTON, CHERYL LYNN (MD)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:LYNN
Last Name:YELVERTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 NW 82ND AVE
Mailing Address - Street 2:SUITE 305
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-7808
Mailing Address - Country:US
Mailing Address - Phone:954-835-2788
Mailing Address - Fax:954-430-4362
Practice Address - Street 1:201 NW 82ND AVE
Practice Address - Street 2:SUITE 305
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-7808
Practice Address - Country:US
Practice Address - Phone:954-835-2788
Practice Address - Fax:954-430-4362
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-23
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88999208600000X, 2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4000077731000OtherPREFERRED CARE PARTNERS
FL273005700Medicaid
FL14004OtherBCBS
FLSG078267OtherVISTA
FL00002555557 07OtherUNITED HEALTHCARE
FL20521OtherEVOLUTIONS HEALTHCARE SYSTEMS
FL5662247OtherCIGNA HEALTHCARE
FL301594OtherAVMED
FL9505291OtherMULTIPLAN/PCHS
FL00002555557 07OtherUNITED HEALTHCARE
FL301594OtherAVMED
FL301594OtherAVMED
I38757Medicare UPIN
FL14004YMedicare PIN