# TEAMMD PHYSICIANS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316591316
- **Authorized official:** DONNA FORREST (VP)
- **Authorized official phone:** (651) 414-8735

## Contact information

- **Practice address:** 10151 DEERWOOD PARK BLVD STE 420, JACKSONVILLE, FL 32256-0566
- **Practice address phone:** (952) 202-2925
- **Mailing address:** 9900 BREN RD E \# NJ975, MINNETONKA, MN 55343-9664
- **Mailing address phone:** (800) 957-6046
- **Mailing address fax:** (866) 239-6576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/29/2019
- **Last updated:** 01/13/2020