Provider Demographics
NPI:1538710777
Name:TIMOL, SHERYL (APRN)
Entity type:Individual
Prefix:
First Name:SHERYL
Middle Name:
Last Name:TIMOL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:SHERYL
Other - Middle Name:
Other - Last Name:WHYTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5827 CORPORATE WAY
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2000
Mailing Address - Country:US
Mailing Address - Phone:561-844-9443
Mailing Address - Fax:561-844-1013
Practice Address - Street 1:9576 S US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-4217
Practice Address - Country:US
Practice Address - Phone:772-337-4000
Practice Address - Fax:844-543-0396
Is Sole Proprietor?:No
Enumeration Date:2019-09-27
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9291894363LF0000X
FLAPRN1104747363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAPRN11004747OtherFLORIDA DOH