Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Terry Forman, CTRI, ESMHL

Individual provider Contractor · NPI 1780537670

Terry Forman, CTRI, ESMHL is a Contractor in Hudson, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2026

Practice location Address checks out

11820 Denton Ave
Hudson, FL 34667-5419
Phone: (727) 862-9101
Fax: (888) 345-5315
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 6997980 (FL)

Record details

NPI number1780537670
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRI , ESMHL
Sole proprietorYes
NPI enumeratedFebruary 19, 2026
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026

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