Individual
TERESA FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4419 56TH ST W, BRADENTON, FL 34210-2715
(321) 848-5700
Mailing address
4419 56TH ST W, BRADENTON, FL 34210-2715
(321) 848-5700
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
2620652
FL
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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