Healthcare Provider Details

I. General information

NPI: 1891748729
Provider Name (Legal Business Name): TERESA MARIA PLOTTS RPH, CACP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 09/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5201 RAYMOND ST
ORLANDO FL
32803-8208
US

IV. Provider business mailing address

1392 TALL MAPLE LOOP
OVIEDO FL
32765-7785
US

V. Phone/Fax

Practice location:
  • Phone: 407-629-1599
  • Fax: 321-397-6498
Mailing address:
  • Phone: 407-977-6694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS 0022040
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: