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
Phone: (352) 265-5497
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578598892 | NPPES |
| Florida | MEDICAID | 263085100 |
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