Individual
GERALDINE J TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1651 N SEMORAN BLVD, ORLANDO, FL 32807
(407) 249-1234
(407) 249-1755
Mailing address
13438 FORT KING RD, DADE CITY, FL 33525-5214
(352) 567-5266
(352) 567-3066
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME100533
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043279268
NPI
—
05
—
280829300
—
FL
Enumeration date
03/18/2006
Last updated
10/20/2011
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