Provider Demographics
NPI:1003076928
Name:HART, CHERYLE R (MD)
Entity type:Individual
Prefix:DR
First Name:CHERYLE
Middle Name:R
Last Name:HART
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3351 GLENWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:HOLIDAY
Mailing Address - State:FL
Mailing Address - Zip Code:34691-2528
Mailing Address - Country:US
Mailing Address - Phone:716-354-4911
Mailing Address - Fax:813-433-5239
Practice Address - Street 1:3351 GLENWOOD CIR
Practice Address - Street 2:
Practice Address - City:HOLIDAY
Practice Address - State:FL
Practice Address - Zip Code:34691-2528
Practice Address - Country:US
Practice Address - Phone:716-435-4911
Practice Address - Fax:610-438-0336
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-13
Last Update Date:2025-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYAH1160439207Q00000X
NY2597652081P2900X
PAMD472638207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine