Cronin, Terrence Allan

Cronin, Terrence Allan is an sole proprietor health care provider with primary practice located at 1399 S Harbor City Blvd , Melbourne FL 32901-3208. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Cronin, Terrence Allan can be contacted via phone (321) 726-1711.

Contact Information

Primary practice address
1399 S Harbor City Blvd Melbourne FL 32901-3208
Fax: (321) 726-1715
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X ME0066760 Florida
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X ME0066760 Florida

Profile Details

NPI number 1356343115
LBN Legal business name Cronin, Terrence Allan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2005
Last updated Sep 8th, 2008 - about 16 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 1356343115 NPPES
Florida Other 26265 FLORIDA BLUE SHIELD
Florida Other 26265 FLORIDA BLUE SHIELD
Florida MEDICAID 379600100 FLORIDA BLUE SHIELD
Florida Other 6189190 FLORIDA BLUE SHIELD
Florida Other 18258 FLORIDA BLUE SHIELD
Florida Other 070007155 FLORIDA BLUE SHIELD

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