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Individual

JULIE MARSHA TEUBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2776 CLEVELAND AVE, FORT MYERS, FL 33901-5864
(239) 343-1614
(239) 343-3695
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-1614
(239) 343-3695

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
52091
SC
207P00000X
Emergency Medicine Physician
Primary
ME156070
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116118500
FL
Enumeration date
04/09/2014
Last updated
04/11/2023
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