Individual
TERESA ANGELINO-PRIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1850 SW FOUNTAINVIEW BLVD STE 105, PORT SAINT LUCIE, FL 34986-4527
(772) 336-2818
(772) 336-5313
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(772) 336-2818
(772) 336-5313
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME138443
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103165900
—
FL
Enumeration date
03/09/2007
Last updated
07/22/2019
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