Provider Demographics
NPI:1063618189
Name:SHERIFF, MYRON ORLANDO SR (LMT/CKTP PLLC)
Entity type:Individual
Prefix:MR
First Name:MYRON
Middle Name:ORLANDO
Last Name:SHERIFF
Suffix:SR
Gender:M
Credentials:LMT/CKTP PLLC
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Mailing Address - Street 1:4170 INVERRARY
Mailing Address - Street 2:401
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319
Mailing Address - Country:US
Mailing Address - Phone:954-822-2385
Mailing Address - Fax:
Practice Address - Street 1:4170 INVERRARY DR
Practice Address - Street 2:401
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319
Practice Address - Country:US
Practice Address - Phone:954-822-2385
Practice Address - Fax:954-714-6613
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2010-03-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLMA48205225700000X, 226300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist