TERESITA DE LARA MD

Dr TERESITA DE LARA MD is a female medical professional, specializing in Internal Medicine. She graduated in 1970.

Contact

2400 HARBOR BLVD
SUITE 3
PORT CHARLOTTE
FL
339525038

Tel: 9416291288

TERESITA DE LARA MD Information

Npi 1891725677
Pac Id 8325948201
Professional Enrollment Id I20040109000101
Last Name DE LARA
First Name TERESITA
Middle Name
Suffix
Gender F
Credential MD
Medical School Name OTHER
Graduation Year 1970
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1 ENDOCRINOLOGY
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties ENDOCRINOLOGY
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 2400 HARBOR BLVD
Line 2 Street Address SUITE 3
Marker Of Address Line 2 Suppression
City PORT CHARLOTTE
State FL
Zip Code 339525038
Phone Number 9416291288
Hospital Affiliation Ccn 1 100236
Hospital Affiliation Lbn 1 FAWCETT MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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