Doctor Name: | TERESA FOX |
NPI Number: | 1013316777 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2620652 |
Business Practice Address: | 4419 56th St W Bradenton, FL - 342102715 |
Business Phone Number: | 3218485700 |
Business Fax Number: | |
Mailing Address: | 4419 56th St W, BRADENTON |
State: | FL |
Postal Code: | 342102715 |
Phone Number: | 3218485700 |
Fax Number: | |
NPI Enumeration Date: | 08/19/2014 |
NPI Last Update Date: | 08/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WE0003X |
License Number: | 2620652 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Emergency |
Taxonomy Definition: |