Provider Demographics
NPI:1538359161
Name:HDEBECHE-ADAMS, TERESA C (MD)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:C
Last Name:HDEBECHE-ADAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:258 S CHICKASAW TRL
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-3501
Mailing Address - Country:US
Mailing Address - Phone:407-303-6626
Mailing Address - Fax:407-303-6634
Practice Address - Street 1:258 S CHICKASAW TRL
Practice Address - Street 2:SUITE 201
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-3501
Practice Address - Country:US
Practice Address - Phone:407-303-6626
Practice Address - Fax:407-303-6634
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME110412207RG0100X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology