Individual
ERIC JON TESCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1613 HARRISON PKWY, #200, SUNRISE, FL 33323-2853
(954) 838-2371
Mailing address
PO BOX 841307, PEMBROKE PINES, FL 33084-3307
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
018317
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1357324
—
LA
Enumeration date
03/04/2006
Last updated
05/05/2021
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