Provider Demographics
NPI:1780762476
Name:ELBRAND, CHERYL PEARSON (LDO)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:PEARSON
Last Name:ELBRAND
Suffix:
Gender:F
Credentials:LDO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19013 BISCAYNE BLVD
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2819
Mailing Address - Country:US
Mailing Address - Phone:305-935-5250
Mailing Address - Fax:
Practice Address - Street 1:19013 BISCAYNE BLVD
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2819
Practice Address - Country:US
Practice Address - Phone:305-935-5250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDO 2235156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0591310001Medicare ID - Type Unspecified