Co, Teresita C

Co, Teresita C is an sole proprietor health care provider with primary practice located at 10075 S Jog Rd Suite 101, Boynton Beach FL 33437-3535. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Co, Teresita C can be contacted via phone (561) 734-5484.

Contact Information

Primary practice address
10075 S Jog Rd Suite 101 Boynton Beach FL 33437-3535
Phone: (561) 734-5484
Fax: (561) 734-5484
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1426762 Florida

Profile Details

NPI number 1669604856
LBN Legal business name Co, Teresita C
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2009
Last updated Jan 9th, 2017 - about 7 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 1669604856 NPPES
Florida MEDICAID 004568200

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