Provider Demographics
NPI:1932433356
Name:RAIKES, SHERYL MARGARITA (APRN)
Entity Type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:MARGARITA
Last Name:RAIKES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15901 SW 61ST ST
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33331-3405
Mailing Address - Country:US
Mailing Address - Phone:954-665-6766
Mailing Address - Fax:
Practice Address - Street 1:15901 SW 61ST ST
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33331-3405
Practice Address - Country:US
Practice Address - Phone:954-665-6766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-01
Last Update Date:2020-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3360632363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health