| NPI Details | |
|---|---|
| NPI | 1972660686 |
| Gender | Female |
| Enumeration Date | 01/02/2007 |
| Last Updated | 12/17/2012 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 10291 EUSTON AVE ENGLEWOOD FL, 34224-9405, US |
|
| Phone | (941) 473-3804 |
| Fax | (941) 473-8534 |
| Business Location | |
|---|---|
| 10291 EUSTON AVE ENGLEWOOD FL, 34224-9405, US |
|
| Phone | (941) 473-3804 |
| Fax | (941) 473-8534 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 111N00000X |
| License State | Florida |
| License Number | CH0005697 |
| Remove 1972660686 NPI Number | |
According to our database, Teri J. Hagerty NPI is 1972660686, taxonomy code is 111N00000X and license number is CH0005697, license state is located at Florida. Teri J. Hagerty physically located at 10291 Euston Ave, Englewood FL, 34224-9405. NPI Number Teri J. Hagerty has the Individual type.
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1972660686 NPI number is provided on an as is basis without warranty of any kind. 1972660686 is maintained by the National Plan & Provider Enumeration System. The contents of Teri J. Hagerty are for informational purposes only.
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