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NPI Code Detail

MEDICARE: MS. TERRY ANN LONCZAK APRN-BC

MEDICARE: MS. TERRY ANN LONCZAK APRN-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner9272541FL

General Provider Information

NPI Number : 1285638544
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TERRY ANN LONCZAK APRN-BC
Provider Business Mailing Address
First Line : 29651 TEE SHOT DR
Second Line :
City : SAN ANTONIO
State : FL
Zip : 33576-4658
Country : US
Telephone Number : 813-903-4411
Fax Number :
Provider Business Practice Location Address
First Line : 13000 BRUCE B DOWNS BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33612-4745
Country : US
Telephone Number : 813-903-4411
Fax Number : 813-631-3123
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2005
Last Update Date : 04/01/2013

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