Individual
DR. TERRY A HAAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
83 W MILLER ST, ORLANDO, FL 32806-2028
(321) 841-5281
(407) 648-9879
Mailing address
83 W MILLER ST, ORLANDO, FL 32806-2028
(321) 841-5281
(407) 648-9879
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
9185491-1204
UT
207V00000X
Obstetrics & Gynecology Physician
Primary
OS10169
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036113969
—
IL
01
—
09806
BCBS OF FLORIDA
FL
05
—
280166300
—
FL
01
—
OS10169
MEDICAL LICENSE
FL
Enumeration date
10/01/2006
Last updated
11/16/2016
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