Provider Demographics
NPI:1912861923
Name:CHERIZARD, CHERLEY
Entity type:Individual
Prefix:
First Name:CHERLEY
Middle Name:
Last Name:CHERIZARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 HAMMOCK RD SE
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32909-8848
Mailing Address - Country:US
Mailing Address - Phone:561-346-4226
Mailing Address - Fax:
Practice Address - Street 1:300 HAMMOCK RD SE
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32909-8848
Practice Address - Country:US
Practice Address - Phone:561-346-4226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-13
Last Update Date:2025-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT18199227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGroup - Single Specialty