Individual
DR. TERRY FOX
Active
Individual
DR. TERRY FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME133861
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112568700
—
FL
01
—
14637267
CAQH
FL
01
—
OJ369
FLORIDA MEDICARE
FL
01
—
Q00222982
FLORIDA RAILROAD MEDICARE
FL
01
—
T1M3S
FLORIDA BLUE (BCBS)
FL
Enumeration date
04/09/2014
Last updated
07/05/2022
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