Provider Demographics
NPI:1801178975
Name:TERI CUMPTON MD PL
Entity Type:Organization
Organization Name:TERI CUMPTON MD PL
Other - Org Name:OCALA PAIN AND PALLIATIVE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:L
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-237-7646
Mailing Address - Street 1:2300 SE 17TH ST
Mailing Address - Street 2:BUILDING 1000
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-9107
Mailing Address - Country:US
Mailing Address - Phone:352-622-6226
Mailing Address - Fax:888-241-5140
Practice Address - Street 1:2300 SE 17TH ST
Practice Address - Street 2:BUILDING 1000
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-9107
Practice Address - Country:US
Practice Address - Phone:352-622-6226
Practice Address - Fax:888-241-5140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME66357208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty