Basic Information
Provider Information
NPI: 1336404359
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCGHIE
FirstName: CHERYL PAIGE
MiddleName: CHRISTINA
NamePrefix: MS.
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6093 NW 62ND TER
Address2:  
City: PARKLAND
State: FL
PostalCode: 330671538
CountryCode: US
TelephoneNumber: 9545784000
FaxNumber: 9545784948
Practice Location
Address1: 8900 N KENDALL DR
Address2:  
City: MIAMI
State: FL
PostalCode: 331762118
CountryCode: US
TelephoneNumber: 7865962000
FaxNumber: 3052797778
Other Information
ProviderEnumerationDate: 07/05/2012
LastUpdateDate: 10/01/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/01/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2100X209024063ILN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
363LA2100X4704371515MIN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
363LA2100X1031118TXN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
363LA2100X347560NYN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
363LF0000XARNP9183894FLN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LF0000X209024063ILN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LF0000X347560NYN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LF0000X4704371515MIN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LF0000X1031118TXN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LA2100XARNP9183894FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


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