Healthcare Provider Details

I. General information

NPI: 1124930300
Provider Name (Legal Business Name): NATALJA TERENTJEVA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10101 FOREST HILL BLVD
WELLINGTON FL
33414-6103
US

IV. Provider business mailing address

15477 133RD TER N
JUPITER FL
33478-8528
US

V. Phone/Fax

Practice location:
  • Phone: 561-741-5400
  • Fax:
Mailing address:
  • Phone: 305-965-1883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0205X
TaxonomyCritical Care Pharmacist
License NumberPS58500
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: