Provider Demographics
NPI:1023448990
Name:TERMINA, AMY (CSA)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:TERMINA
Suffix:
Gender:F
Credentials:CSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:909 SE 5TH AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-5172
Mailing Address - Country:US
Mailing Address - Phone:561-900-2498
Mailing Address - Fax:888-972-4762
Practice Address - Street 1:12121 RICHMOND AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2432
Practice Address - Country:US
Practice Address - Phone:832-797-8405
Practice Address - Fax:832-491-0322
Is Sole Proprietor?:No
Enumeration Date:2013-11-13
Last Update Date:2014-04-23
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant