Individual
TERESA FIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 979-7208
(813) 979-3071
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
(866) 761-5658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME81079
FL
207RH0000X
Hematology (Internal Medicine) Physician
Primary
ME81079
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254588800
—
FL
01
—
43726
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/07/2006
Last updated
02/04/2014
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