Individual
DR. TERRENCE ALLAN CRONIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1399 S HARBOR CITY BLVD, MELBOURNE, FL 32901-3208
(321) 726-1711
(321) 726-1715
Mailing address
1399 S HARBOR CITY BLVD, MELBOURNE, FL 32901-3208
(321) 726-1711
(321) 726-1715
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME0066760
FL
207NS0135X
Procedural Dermatology Physician
ME0066760
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070007155
RAILROAD MEDICARE
FL
01
—
18258
AETNA
FL
01
—
26265
FLORIDA BLUE SHIELD
FL
05
—
379600100
—
FL
01
—
6189190
CIGNA
—
Enumeration date
08/11/2005
Last updated
09/08/2008
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