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NPI Code Detail

MEDICARE: TERRI L MCENDREE MD

MEDICARE:   TERRI L MCENDREE  MD
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
1207V00000XObstetrics & Gynecology PhysicianME87789FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
279246OTHERFLBCBS

General Provider Information

NPI Number : 1932165099
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRI L MCENDREE MD
Provider Business Mailing Address
First Line : 2700 HEALING WAY STE 305
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33543-5453
Country : US
Telephone Number : 813-929-5341
Fax Number : 813-929-5393
Provider Business Practice Location Address
First Line : 2700 HEALING WAY STE 305
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33543-5453
Country : US
Telephone Number : 813-929-5341
Fax Number : 813-929-5393
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2006
Last Update Date : 11/10/2017

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Directions to “ TERRI L MCENDREE MD” Practice Location

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