Teather, Thomas C.

Teather, Thomas C. is an sole proprietor health care provider with primary practice located at 1478 Highland Ave Suite A, Melbourne FL 32935-6501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Teather, Thomas C. can be contacted via phone (321) 242-2029.

Contact Information

Primary practice address
1478 Highland Ave Suite A Melbourne FL 32935-6501
Phone: (321) 242-2029
Fax: (321) 242-2423
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME66195 Florida

Profile Details

NPI number 1265574917
LBN Legal business name Teather, Thomas C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2007
Last updated Oct 21st, 2013 - 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 1265574917 NPPES
Florida MEDICAID 375920200

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