Provider Demographics
NPI:1891748729
Name:PLOTTS, TERESA MARIA (RPH, CACP)
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:MARIA
Last Name:PLOTTS
Suffix:
Gender:F
Credentials:RPH, CACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1392 TALL MAPLE LOOP
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-7785
Mailing Address - Country:US
Mailing Address - Phone:407-977-6694
Mailing Address - Fax:
Practice Address - Street 1:5201 RAYMOND ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-8208
Practice Address - Country:US
Practice Address - Phone:407-629-1599
Practice Address - Fax:321-397-6498
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 0022040183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPS 0022040OtherPHARMACIST
FL1835P0018XOtherCLINICAL PHARMACY SPECIALIST