Healthcare Provider Details

I. General information

NPI: 1508785791
Provider Name (Legal Business Name): NORA TERKAWI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4014 WINTER GARDEN VINELAND RD STE B
WINTER GARDEN FL
34787-9576
US

IV. Provider business mailing address

4132 BROOKMYRA DR
ORLANDO FL
32837-5109
US

V. Phone/Fax

Practice location:
  • Phone: 407-617-2536
  • Fax:
Mailing address:
  • Phone: 407-617-2536
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN32003
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: