Teytelbaum, Renata

Teytelbaum, Renata is an sole proprietor health care provider with primary practice located at 585 Main St Suite 101, Dunedin FL 34698-4918. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Teytelbaum, Renata can be contacted via phone (727) 734-6777.

Contact Information

Primary practice address
585 Main St Suite 101 Dunedin FL 34698-4918
Fax: (727) 734-6440
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0056418 Florida

Profile Details

NPI number 1497756621
LBN Legal business name Teytelbaum, Renata
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2005
Last updated Sep 21st, 2016 - about 9 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 1497756621 NPPES
Florida MEDICAID 053130800

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