Provider Demographics
NPI:1881229748
Name:CHERY, LEOPOLD (NP)
Entity type:Individual
Prefix:
First Name:LEOPOLD
Middle Name:
Last Name:CHERY
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5950 W OAKLAND PARK BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33313-1260
Mailing Address - Country:US
Mailing Address - Phone:954-717-4066
Mailing Address - Fax:
Practice Address - Street 1:5950 W OAKLAND PARK BLVD STE 300
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33313-1260
Practice Address - Country:US
Practice Address - Phone:954-717-4066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-11
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11006573363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily