Cronin, Terrence Allan
Cronin, Terrence Allan is an sole proprietor health care provider with primary practice located at 1399 S Harbor City Blvd , Melbourne FL 32901-3208. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Cronin, Terrence Allan can be contacted via phone (321) 726-1711.Contact Information
Primary practice address
1399 S Harbor City Blvd
Melbourne FL 32901-3208
Phone: (321) 726-1711
Fax: (321) 726-1715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | ME0066760 | Florida |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | ME0066760 | Florida |
Profile Details
| NPI number | 1356343115 |
|---|---|
| LBN Legal business name | Cronin, Terrence Allan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Sep 8th, 2008 - about 18 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 | 1356343115 | NPPES |
| Florida | Other | 26265 | FLORIDA BLUE SHIELD |
| Florida | Other | 26265 | FLORIDA BLUE SHIELD |
| Florida | MEDICAID | 379600100 | FLORIDA BLUE SHIELD |
| Florida | Other | 6189190 | FLORIDA BLUE SHIELD |
| Florida | Other | 18258 | FLORIDA BLUE SHIELD |
| Florida | Other | 070007155 | FLORIDA BLUE SHIELD |
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