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Individual
TERESA ANN SCANLAN
Active
Individual
TERESA ANN SCANLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11017893
FL
363LF0000X
Family Nurse Practitioner
5428
MN
363LF0000X
Family Nurse Practitioner
Primary
APRN11017893
FL
Other
Enumeration date
09/25/2017
Last updated
08/21/2026
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