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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1154363620 NPPES
Florida MEDICAID 695629

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