Individual
TERESITA C DE LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2400 HARBOR BLVD STE 3, PORT CHARLOTTE, FL 33952-5038
(941) 629-1288
(941) 625-0570
Mailing address
2400 HARBOR BLVD STE 3, PORT CHARLOTTE, FL 33952-5038
(941) 629-1288
(941) 625-0570
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME35368
FL
Other
Enumeration date
07/04/2006
Last updated
08/07/2017
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