Provider Demographics
NPI:1851765465
Name:BURKETT, SHERRY (ARNP)
Entity type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:
Last Name:BURKETT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MRS
Other - First Name:SHERRY
Other - Middle Name:
Other - Last Name:BURKETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6101 BLUE LAGOON DR STE 400
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2051
Mailing Address - Country:US
Mailing Address - Phone:305-500-2000
Mailing Address - Fax:
Practice Address - Street 1:973 SE FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-3701
Practice Address - Country:US
Practice Address - Phone:772-283-2086
Practice Address - Fax:855-618-2456
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-19
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9265974363LA2200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health