Individual
TERRY JOE DECLUE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3001 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6307
(813) 554-8420
(813) 554-8377
Mailing address
11107 WINTHROP WAY, TAMPA, FL 33612-6506
(813) 870-4837
(813) 554-8377
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
ME0044882
FL
Other
Enumeration date
01/16/2006
Last updated
07/08/2007
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