| Doctor Name: | MRS. CHERRYL LAI KLITCH |
| NPI Number: | 1033445879 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA9105052 |
| Business Practice Address: | 501 6th Ave S Dept 7210 Saint Petersburg, FL - 337014634 |
| Business Phone Number: | 7277673318 |
| Business Fax Number: | 7277673593 |
| Mailing Address: | 501 6th Ave S, Dept 7210 SAINT PETERSBURG |
| State: | FL |
| Postal Code: | 337014634 |
| Phone Number: | 7277673318 |
| Fax Number: | 7277673593 |
| NPI Enumeration Date: | 10/29/2009 |
| NPI Last Update Date: | 05/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA9105052 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |