TERRY JOE DECLUE

TAMPA, FL
NPI1962481127
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080P0205X Pediatrics, Pediatric Endocrinology
(Licence: FL  ME0044882)
Enumeration Date2006-01-16
Last Update Date2007-07-08
Business Address
-- TERRY JOE DECLUE M.D.
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607-6307
Phone number: 813-554-8420
Mailing Address
-- TERRY JOE DECLUE M.D.
11107 WINTHROP WAY
TAMPA, FL 33612-6506
Phone number: 813-870-4837