Organization
A TERRELONGE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO TERRELONGE M.D. (OWNER)
(305) 266-7258
Entity
Organization
Contact information
Practice address
7801 CORAL WAY, SUITE 131, MIAMI, FL 33155-6538
(305) 266-7258
(305) 266-7260
Mailing address
300 NW 129TH AVE, MIAMI, FL 33182-1166
(786) 234-8978
(305) 266-7260
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME92001
FL
Other
Enumeration date
08/29/2006
Last updated
03/24/2009
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