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Individual

TERENCE P CONNELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3340 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-8088
(941) 764-5858
(941) 764-1657
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
ME0063964
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME63964
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
374413200
FL
Enumeration date
08/13/2006
Last updated
04/01/2024
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