Connelly, Terence P
Connelly, Terence P is an individual health care provider with primary practice located at 3340 Tamiami Trl , Port Charlotte FL 33952-8088. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Connelly, Terence P can be contacted via phone (941) 764-5858.Contact Information
Primary practice address
3340 Tamiami Trl
Port Charlotte FL 33952-8088
Phone: (941) 764-5858
Fax: (941) 764-1657
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | ME63964 | Florida |
Other Service Providers / Specialist | 174400000X | ME0063964 | Florida |
Profile Details
NPI number | 1982617072 |
---|---|
LBN Legal business name | Connelly, Terence P |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 13th, 2006 |
Last updated | Apr 1st, 2024 - about 7 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1982617072 | NPPES |
Florida | MEDICAID | 374413200 |
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