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:
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Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982617072 NPPES
Florida MEDICAID 374413200

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