Provider Demographics
NPI:1487080370
Name:LOVE, CHERYL NICOLE (AUD)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:NICOLE
Last Name:LOVE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10835 SE SUNSET HARBOR RD
Mailing Address - Street 2:
Mailing Address - City:SUMMERFIELD
Mailing Address - State:FL
Mailing Address - Zip Code:34491-7622
Mailing Address - Country:US
Mailing Address - Phone:352-246-6154
Mailing Address - Fax:
Practice Address - Street 1:3307 SW 26TH AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-7843
Practice Address - Country:US
Practice Address - Phone:352-861-3940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-24
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1358231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist