Individual
DR. TERTULIANO ZEFERINO COUTINHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
3900 CLARK RD, BLDG J SUITE 1, SARASOTA, FL 34233-2301
(941) 921-6093
(941) 923-0243
Mailing address
3900 CLARK RD, BLDG J SUITE 1, SARASOTA, FL 34233-2301
(941) 921-6093
(941) 923-0243
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME0047260
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042836100
—
FL
01
—
58489
BLUE CROSS OF FLORIDA
FL
Enumeration date
07/09/2006
Last updated
07/08/2007
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