Individual
DR. TERRENCE ALLAN CRONIN SR.
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
207NS0135X
Procedural Dermatology Physician
Primary
ME0019430
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05291
FLORIDA BLUE SHIELD
FL
Enumeration date
08/12/2005
Last updated
07/08/2007
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