Provider Demographics
NPI:1134209372
Name:CHERRY, ANDREW M (DC)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:M
Last Name:CHERRY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9697 ARBOR OAKS LN
Mailing Address - Street 2:#206
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-1780
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9697 ARBOR OAKS LN
Practice Address - Street 2:#206
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-1780
Practice Address - Country:US
Practice Address - Phone:954-708-3910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC 005759L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor