Individual
TERESA LYNNE MASSARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4200 W CYPRESS ST STE 690, TAMPA, FL 33607-4112
(813) 877-2200
Mailing address
18643 SAN RIO CIR, LUTZ, FL 33549-3918
(813) 949-2686
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1377702
FL
Other
Enumeration date
11/21/2005
Last updated
02/05/2020
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