Doctor Name: | DR. ROBERT L TEITELBAUM |
NPI Number: | 1710915277 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME88981 |
Business Practice Address: | 281 State Highway 20 E Freeport, FL - 324393929 |
Business Phone Number: | 8508351235 |
Business Fax Number: | 8508354195 |
Mailing Address: | 281 State Highway 20 E, P. O. Box 182 FREEPORT |
State: | FL |
Postal Code: | 324393929 |
Phone Number: | 8508351235 |
Fax Number: | 8508354195 |
NPI Enumeration Date: | 06/30/2006 |
NPI Last Update Date: | 04/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME88981 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |