MEDICARE: TERENCE VAUGHAN CONNORS PA

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
1	363A00000X	Physician Assistant	000805	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00012841	OTHER	NY	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144201351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERENCE VAUGHAN CONNORS PA

Provider Business Mailing Address
First Line	:	12909 SW PEMBROKE CIR N
Second Line	:
City	:	LAKE SUZY
State	:	FL
Zip	:	34269-6937
Country	:	US
Telephone Number	:	941-255-0770
Fax Number	:

Provider Business Practice Location Address
First Line	:	12909 SW PEMBROKE CIR N
Second Line	:
City	:	LAKE SUZY
State	:	FL
Zip	:	34269-6937
Country	:	US
Telephone Number	:	941-255-0770
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	06/24/2016

Similar Medicare Providers

1225030166 — MR. SERGIO E VALDIVIA PT
Practice Location Address:

12355 SW COUNTY ROAD 769 , SUITE B
LAKE SUZY, FL
34269-5923

Practice Phone: 941-468-1660
Practice Fax: 941-484-6024

1629242326 — ARCADIA CHIROPRACTIC CLINIC, INC
Practice Location Address:

12687 SW COUNTY ROAD 769 STE 3A
LAKE SUZY, FL
34269-5919

Practice Phone: 941-766-7110
Practice Fax: 941-766-7110

1356795629 — FLORIDA PSYCH SERVICES INC.
Practice Location Address:

13436 SW PEMBROKE CIR N
LAKE SUZY, FL
34269-6909

Practice Phone: 239-478-7984
Practice Fax:

1013902758 — CHRISTINE M BABCOCK A.N.P.
Practice Location Address:

506 LAKE ST
KENAI, AK
99611-6937

Practice Phone: 907-714-4025
Practice Fax: 907-335-0064

1225048648 — MICHAEL K VISICK MD
Practice Location Address:

506 LAKE ST
KENAI, AK
99611-6937

Practice Phone: 907-714-4111
Practice Fax: 844-412-3952

1497809669 — DR. KEVIN ARTHUR RULLMAN DO
Practice Location Address:

506 LAKE ST
KENAI, AK
99611-6937

Practice Phone: 907-714-4025
Practice Fax: 907-335-0064

Directions to “ TERENCE VAUGHAN CONNORS PA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.