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NPI Code Detail

MEDICARE: DR. GENE TERREZZA,O.D. & ASSOCIATES,P.A.

MEDICARE: DR. GENE TERREZZA,O.D. & ASSOCIATES,P.A.
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
1152W00000XOptometristOPC1196FL

Other Identifiers

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

General Provider Information

NPI Number : 1467553040
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR. GENE TERREZZA,O.D. & ASSOCIATES,P.A.
Provider Business Mailing Address
First Line : 800 N FAIRFIELD DR
Second Line :
City : PENSACOLA
State : FL
Zip : 32506-4313
Country : US
Telephone Number : 850-456-5059
Fax Number : 850-456-0461
Provider Business Practice Location Address
First Line : 800 N FAIRFIELD DR
Second Line :
City : PENSACOLA
State : FL
Zip : 32506-4313
Country : US
Telephone Number : 850-456-5059
Fax Number : 850-456-0461
Authorized Official
Title or Position : BILLING MANAGER
Name : JENNIFER DUKES
Credential :
Telephone Number : 850-434-2060
Provider Enumeration Date : 09/26/2006
Last Update Date : 11/19/2024

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