Tedesco, John

Tedesco, John is an individual health care provider with primary practice located at 2100 Via Bella Blvd Ste. 204, Land O Lakes FL 34639-5429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tedesco, John can be contacted via phone (813) 751-3636.

Contact Information

Primary practice address
2100 Via Bella Blvd Ste. 204 Land O Lakes FL 34639-5429
Phone: (813) 751-3636
Fax: (813) 377-1678
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS6814 Florida

Profile Details

NPI number 1003839044
LBN Legal business name Tedesco, John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Nov 4th, 2015 - about 11 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 1003839044 NPPES
Florida Other 080141113 RR MEDICARE
Florida MEDICAID 253803200 RR MEDICARE

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