Teitelbaum, Scott A

Teitelbaum, Scott A is an individual health care provider with primary practice located at 1600 Sw Archer Rd Box 100256, Gainesville FL 32610-0256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Teitelbaum, Scott A can be contacted via phone (352) 265-5497.

Contact Information

Primary practice address
1600 Sw Archer Rd Box 100256 Gainesville FL 32610-0256
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X ME81961 Florida

Profile Details

NPI number 1578598892
LBN Legal business name Teitelbaum, Scott A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Mar 31st, 2017 - 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 1578598892 NPPES
Florida MEDICAID 263085100

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