Individual
KIMBERLY ANNE TEITELBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0301
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 265-0301
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9251018
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003594500
—
FL
Enumeration date
04/16/2008
Last updated
07/07/2011
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