Medina, Teodoro
Medina, Teodoro is an individual health care provider with primary practice located at 1729 David Walker Dr , Tavares FL 32778-5745. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Medina, Teodoro can be contacted via phone (352) 508-4455.Contact Information
Primary practice address
1729 David Walker Dr
Tavares FL 32778-5745
Phone: (352) 508-4455
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ACN 793 | Florida |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 14489 | Puerto Rico |
Profile Details
| NPI number | 1093852113 |
|---|---|
| LBN Legal business name | Medina, Teodoro |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jul 9th, 2026 - about 3 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093852113 | NPPES |
| Florida | Other | TW49T | FL BLUE |
Popular Providers
-
Soto, Susan G
18901 Lake Shore Blvd , Euclid OH 44119-1078 -
Gardner, Kenneth A.
150 Fairview Court , Eminence KY 40019 -
Glazer, Alan Usher
400 Ballytore Rd , Wynnewood PA 19096-2318 -
Colon, Carlos J
212 E Main St , Tavares FL 32778-3808 -
Wedlake, Tiffany M
2400 Kirk Ave , Baltimore MD 21218-5507 -
Heydari, Amir J.
10350 Haligus Rd Ste 220 , Huntley IL 60142-9585 -
Govindarajan, Sudha
2614 W Beverly Blvd , Montebello CA 90640-2310 -
Robles, Sol A
Luquillo Plaza Local 14 , Luquillo PR 00773