Teed, Richard Russell

Teed, Richard Russell is an individual health care provider with primary practice located at 509 Se Riverside Dr Ste 305, Stuart FL 34994-2579. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Teed, Richard Russell can be contacted via phone (772) 286-5007.

Contact Information

Primary practice address
509 Se Riverside Dr Ste 305 Stuart FL 34994-2579
Phone: (772) 286-5007
Fax: (772) 286-0018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0116019085 Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X ME118100 Florida

Profile Details

NPI number 1396944831
LBN Legal business name Teed, Richard Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2007
Last updated Feb 15th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396944831 NPPES
Florida MEDICAID 012728800

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