Teytelbaum, Leo R

Teytelbaum, Leo R is an individual health care provider with primary practice located at 6450 38Th Ave N Suite #350, St Petersburg FL 33710-1645. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Teytelbaum, Leo R can be contacted via phone (727) 344-7339.

Contact Information

Primary practice address
6450 38Th Ave N Suite #350 St Petersburg FL 33710-1645
Phone: (727) 344-7339
Fax: (727) 343-8470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0044110 Florida

Profile Details

NPI number 1053388512
LBN Legal business name Teytelbaum, Leo R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Jun 1st, 2012 - about 12 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 1053388512 NPPES
Florida MEDICAID 069784200

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