Individual
DR. RUPA D TERVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20815 BROADWATER DR, LAND O LAKES, FL 34638-8318
(727) 946-4443
Mailing address
23110 STATE ROAD 54 STE 167, LUTZ, FL 33549-6933
(727) 946-4443
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME85349
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10732842
CAQH
FL
05
—
280137000
—
FL
Enumeration date
05/12/2006
Last updated
03/07/2023
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