Buckson, Theresa A

Buckson, Theresa A is an individual health care provider with primary practice located at 6200 Sw 73Rd St , South Miami FL 33143-4679. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Buckson, Theresa A can be contacted via phone (786) 662-4000.

Contact Information

Primary practice address
6200 Sw 73Rd St South Miami FL 33143-4679
Phone: (786) 662-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X D0056988 Maryland
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME140849 Florida

Profile Details

NPI number 1881671626
LBN Legal business name Buckson, Theresa A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Sep 5th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881671626 NPPES
Maryland MEDICAID 693501000

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