| Organization Name: | ERIC D TEEMAN, DPM, PA |
| NPI Number: | 1053511105 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERIC D TEEMAN (PRESIDENT/OWNER) |
| Mailing Address: | 19802 Wellington Manor Blvd Lutz |
| State: | FL US |
| Postal Code: | 335495012 |
| Phone Number: | 8139483991 |
| Fax Number: | 8139480500 |
| NPI Enumeration Date: | 07/18/2007 |
| NPI Last Update Date: | 01/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP1100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Podiatric |
| Taxonomy Definition: | |