Terry, Kristin Joan
Terry, Kristin Joan is an individual health care provider with primary practice located at 13330 Usf Laurel Dr , Tampa FL 33612-6601. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Terry, Kristin Joan can be contacted via phone (813) 821-8038.Contact Information
Primary practice address
13330 Usf Laurel Dr
Tampa FL 33612-6601
Phone: (813) 821-8038
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | ME137522 | Florida |
Profile Details
| NPI number | 1538691746 |
|---|---|
| LBN Legal business name | Terry, Kristin Joan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2017 |
| Last updated | Jan 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538691746 | NPPES |
| Florida | MEDICAID | 111643200 | |
| Florida | Other | LGJQ5 |
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