Individual
TERA THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 CEDAR TRCE, OCALA, FL 34472-8310
(352) 207-3937
Mailing address
PO BOX 830651, OCALA, FL 34483-0651
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9655980
FL
163WH0200X
Home Health Registered Nurse
Primary
9655980
FL
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
01/31/2019
Last updated
05/20/2025
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