Individual
TERESA LUTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 W CYPRESS CREEK RD STE C100, FORT LAUDERDALE, FL 33309-1741
(954) 974-3111
Mailing address
5220 NE 20TH AVE, FORT LAUDERDALE, FL 33308-3121
(954) 873-2926
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9106899
FL
363AM0700X
Medical Physician Assistant
Primary
PA9106899
FL
Other
Enumeration date
11/02/2012
Last updated
05/09/2025
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