Teel, Dudley Gardner
Teel, Dudley Gardner is an individual health care provider with primary practice located at 1000 36Th St , Vero Beach FL 32960-4862. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Teel, Dudley Gardner can be contacted via phone (772) 567-4311.Contact Information
Primary practice address
1000 36Th St
Vero Beach FL 32960-4862
Phone: (772) 567-4311
Fax: (772) 563-4440
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | ME0044584 | Florida |
Profile Details
NPI number | 1154363620 |
---|---|
LBN Legal business name | Teel, Dudley Gardner |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 11th, 2006 |
Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154363620 | NPPES |
Florida | MEDICAID | 695629 |
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