Individual
DR. THERESA J CUMPSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1665 KINGSLEY AVE, SUITE 105, ORANGE PARK, FL 32073-4490
(904) 215-7015
Mailing address
1665 KINGSLEY AVE, SUITE 105, ORANGE PARK, FL 32073-4490
(904) 215-7015
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME103838
FL
Other
Enumeration date
11/14/2006
Last updated
01/19/2016
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