Medina, Teodoro

Medina, Teodoro is an individual health care provider with primary practice located at 111 Webb Dr , Davenport FL 33837-3962. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Medina, Teodoro can be contacted via phone (863) 421-9447.

Contact Information

Primary practice address
111 Webb Dr Davenport FL 33837-3962
Phone: (863) 421-9447
Fax: (863) 421-1806
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 14489 Puerto Rico
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN 793 Florida

Profile Details

NPI number 1093852113
LBN Legal business name Medina, Teodoro
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Dec 8th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093852113 NPPES
Florida Other TW49T FL BLUE

Popular Providers