Individual
DRAKE HOWARD TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 841-6444
(407) 650-1307
Mailing address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 841-6444
(407) 650-1307
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9118071
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/05/2022
Last updated
12/29/2023
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