Individual
TERESA L. CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
83 W MILLER ST, ORLANDO, FL 32806-2031
(321) 843-8164
(407) 389-5312
Mailing address
83 W MILLER ST, ORLANDO, FL 32806-2031
(321) 843-8164
(407) 389-5312
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME67035
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376137100
—
FL
Enumeration date
11/08/2005
Last updated
11/06/2023
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