Provider Demographics
NPI:1245478452
Name:CUMPTON, TERI SPEED (MD)
Entity type:Individual
Prefix:DR
First Name:TERI
Middle Name:SPEED
Last Name:CUMPTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:TERI
Other - Middle Name:S
Other - Last Name:GORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2101 SW 87TH PL
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34476-6716
Mailing Address - Country:US
Mailing Address - Phone:352-266-5000
Mailing Address - Fax:
Practice Address - Street 1:2101 SW 87TH PL
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34476-6716
Practice Address - Country:US
Practice Address - Phone:352-266-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-26
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL66357202K00000X, 208VP0000X, 208VP0014X, 207QH0002X
LAMD.09203R207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
No202K00000XAllopathic & Osteopathic PhysiciansPhlebology
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL25898WMedicare PIN
FL25898YMedicare UPIN