Provider Demographics
NPI:1912763244
Name:CHERY HEALTH AND WELLNESS LLC
Entity type:Organization
Organization Name:CHERY HEALTH AND WELLNESS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:INA
Authorized Official - Middle Name:
Authorized Official - Last Name:AUGUSTIN CHERY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:407-848-7108
Mailing Address - Street 1:6000 METROWEST BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-7631
Mailing Address - Country:US
Mailing Address - Phone:407-848-7108
Mailing Address - Fax:949-703-8201
Practice Address - Street 1:6000 METROWEST BLVD STE 208
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-7631
Practice Address - Country:US
Practice Address - Phone:407-848-7108
Practice Address - Fax:949-703-8201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-23
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care