Cheryl Rae Blank
LEGACY HEALTH MEDICAL GROUP, LLC


Address: 3600 Oak Manor Ln, Suite 46, Largo, FL 33774-1214
Phone: 7275964870

Cheryl Rae Blank (NPI# 1407286479, PAC ID# 6901035179) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1407286479
PAC ID by PECOS 6901035179
Professional Enrollment ID I20140626002516
Full Name Cheryl Rae Blank
Organization Legal Name LEGACY HEALTH MEDICAL GROUP, LLC
Address 3600 Oak Manor Ln
Suite 46
Largo
FL 33774-1214
Phone Number 7275964870
Gender F
Graduation Year 2013
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 5193962173
Number of Group Practice Members 13
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
3600 Oak Manor Ln, Suite 46, Largo, FL 33774-1214 7275964870 LEGACY HEALTH MEDICAL GROUP, LLC

Organization Information

Organization Legal Name LEGACY HEALTH MEDICAL GROUP, LLC
Physicians 12

Physicians with the same organization

Name Specialty Organization Address
Amber Nicole Russo Nurse Practitioner Legacy Health Medical Group, LLC 3600 Oak Manor Ln, Suite 46, Largo, FL 33774-1214
Priyadarshini G Rao Internal Medicine Legacy Health Medical Group, LLC 1 Kent Dr, Largo, FL 33774-1033
Sharon L Diamond Nurse Practitioner Legacy Health Medical Group, LLC 3600 Oak Manor Ln, Largo, FL 33774-1212
Maryana Henson Nurse Practitioner Legacy Health Medical Group, LLC 1 Kent Dr, Largo, FL 33774-1033
Collette Palmisano Nurse Practitioner Legacy Health Medical Group, LLC 3600 Oak Manor Ln, Suite 46, Largo, FL 33774-1214
Sunil Pokharel Internal Medicine Legacy Health Medical Group, LLC 3600 Oak Manor Ln, Suite 46, Largo, FL 33774-1214
Brent J Lataille Nurse Practitioner Legacy Health Medical Group, LLC 1 Kent Dr, Largo, FL 33774-1033
Connie M Horne Internal Medicine Legacy Health Medical Group, LLC 1 Kent Dr, Largo, FL 33774-1033
Sunit Srivastava Internal Medicine Legacy Health Medical Group, LLC 1 Kent Dr, Largo, FL 33774-1033
Danielle Caraballo Nurse Practitioner Legacy Health Medical Group, LLC 1 Kent Dr, Largo, FL 33774-1033

Office Location

Street Address 3600 OAK MANOR LN
SUITE 46
City LARGO
State FL
Zip 33774-1214

Physicians in the same location

Name Specialty Organization Address
Amber Nicole Russo Nurse Practitioner Legacy Health Medical Group, LLC 3600 Oak Manor Ln, Suite 46, Largo, FL 33774-1214
Sharon L Diamond Nurse Practitioner Legacy Health Medical Group, LLC 3600 Oak Manor Ln, Largo, FL 33774-1212
Collette Palmisano Nurse Practitioner Legacy Health Medical Group, LLC 3600 Oak Manor Ln, Suite 46, Largo, FL 33774-1214
Sunil Pokharel Internal Medicine Legacy Health Medical Group, LLC 3600 Oak Manor Ln, Suite 46, Largo, FL 33774-1214

Physicians in the same zip code

Name Specialty Organization Address
James A Napier Osteopathic Manipulative Medicine 1603 Indian Rocks S Rd, Largo, FL 33774-1026
Vicki G Pappageorge Family Practice 1603 Indian Rocks S Rd, Largo, FL 33774-1026
Eric C Rost Radiation Oncology 1835 Indian Rocks Rd S, Largo, FL 33774-1030
John Hill West Radiation Oncology Tampa Bay Oncology Center, Inc 1835 Indian Rocks Rd S, Largo, FL 33774-1030
Priyadarshini G Rao Internal Medicine Legacy Health Medical Group, LLC 1 Kent Dr, Largo, FL 33774-1033
Maryana Henson Nurse Practitioner Legacy Health Medical Group, LLC 1 Kent Dr, Largo, FL 33774-1033
Brent J Lataille Nurse Practitioner Legacy Health Medical Group, LLC 1 Kent Dr, Largo, FL 33774-1033
Connie M Horne Internal Medicine Legacy Health Medical Group, LLC 1 Kent Dr, Largo, FL 33774-1033
Sunit Srivastava Internal Medicine Legacy Health Medical Group, LLC 1 Kent Dr, Largo, FL 33774-1033
Danielle Caraballo Nurse Practitioner Legacy Health Medical Group, LLC 1 Kent Dr, Largo, FL 33774-1033
Find all physicians in zip 33774

Competitor

Search similar physicians

City LARGO
Zip Code 33774
Specialty NURSE PRACTITIONER
City + Specialty LARGO + NURSE PRACTITIONER

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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