Individual
KRISTA PENNINGTON TERRACINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0169
(352) 265-0262
Mailing address
PO BOX 100109, GAINESVILLE, FL 32610-0109
(352) 265-0169
(352) 265-0262
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME142229
FL
208C00000X
Colon & Rectal Surgery Physician
Primary
ME142229
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104389800
—
FL
Enumeration date
05/16/2011
Last updated
03/13/2020
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