Terry, Marisa Jean

Terry, Marisa Jean is an individual health care provider with primary practice located at 9400 University Pkwy Suite 407, Pensacola FL 32514-5752. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Terry, Marisa Jean can be contacted via phone (850) 916-8700.

Contact Information

Primary practice address
9400 University Pkwy Suite 407 Pensacola FL 32514-5752
Phone: (850) 916-8700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME127530 Florida
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 55801 Minnesota

Profile Details

NPI number 1114210085
LBN Legal business name Terry, Marisa Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2011
Last updated Oct 25th, 2016 - about 9 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 1114210085 NPPES
Florida MEDICAID 018020600

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