# A TERRELONGE MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235247081
- **Authorized official:** DR. ANTONIO TERRELONGE M.D. (OWNER)
- **Authorized official phone:** (305) 266-7258

## Contact information

- **Practice address:** 7801 CORAL WAY, SUITE 131, MIAMI, FL 33155-6538
- **Practice address phone:** (305) 266-7258
- **Practice address fax:** (305) 266-7260
- **Mailing address:** 300 NW 129TH AVE, MIAMI, FL 33182-1166
- **Mailing address phone:** (786) 234-8978
- **Mailing address fax:** (305) 266-7260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME92001 | FL | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 03/24/2009