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NPI Code Detail

MEDICARE: TERENCE PEPPARD M.D.

MEDICARE: TERENCE PEPPARD M.D.
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
1208100000XPhysical Medicine & Rehabilitation PhysicianME0053697FL

General Provider Information

NPI Number : 1225019672
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERENCE PEPPARD M.D.
Provider Business Mailing Address
First Line : 4350 N JEFFERSON AVE
Second Line :
City : MIAMI BEACH
State : FL
Zip : 33140-2934
Country : US
Telephone Number : 305-651-7239
Fax Number : 305-651-6595
Provider Business Practice Location Address
First Line : 3663 S MIAMI AVE
Second Line :
City : MIAMI
State : FL
Zip : 33133-4253
Country : US
Telephone Number : 305-285-2966
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2005
Last Update Date : 07/08/2007

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Directions to “ TERENCE PEPPARD M.D.” Practice Location

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