Individual
DR. EGILDA ANN TERENZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4202 E FOWLER AVE, SHS100, TAMPA, FL 33620-9951
(813) 974-1815
(813) 974-8391
Mailing address
4202 E FOWLER AVE, SHS100, TAMPA, FL 33620-9951
(813) 974-1815
(813) 974-8391
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME0046301
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000185900
—
FL
01
—
08324
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/24/2008
Last updated
05/08/2009
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