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Organization
RENATA TEYTELBAUM, M.D., P.A.
Active
Organization
RENATA TEYTELBAUM, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENATA TEYTELBAUM M.D. (PRESIDENT)
(727) 734-6777
Entity
Organization
Contact information
Practice address
585 MAIN ST, SUITE 101, DUNEDIN, FL 34698-4918
(727) 734-6777
(727) 734-6440
Mailing address
PO BOX 1228, DUNEDIN, FL 34697-1228
(727) 734-6777
(727) 734-6440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME56418
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40156
BLUECROSS BLUE SHIELD
FL
Enumeration date
05/08/2007
Last updated
07/16/2007
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