| Organization Name: | ROBERT L TEITELBAUM MD PA |
| NPI Number: | 1851437651 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT L TEITELBAUM (PRESIDENT) |
| Mailing Address: | 281 State Highway 20 E Freeport |
| State: | FL US |
| Postal Code: | 324393929 |
| Phone Number: | 8508351235 |
| Fax Number: | 8508354195 |
| NPI Enumeration Date: | 01/29/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME88981 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |