Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 66357 | FL |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | MD.09203R | LA |
NPI | 1245478452 |
---|---|
Provider Name | Dr. Teri Speed Cumpton |
First Address | Ocala, FL 34476-6716 |
Second Address | Ocala, FL 34476-6716 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2009 |
Last Update Date | 23/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
25898Y | (02) | FL |