Individual
CASE TEDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17327 PAGONIA RD, CLERMONT, FL 34711-6009
(407) 905-6000
(407) 636-7848
Mailing address
17327 PAGONIA RD STE D, CLERMONT, FL 34711-6009
(407) 905-6000
(407) 636-7848
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
56453
TN
207Q00000X
Family Medicine Physician
Primary
ME156169
FL
Other
Enumeration date
04/10/2015
Last updated
08/23/2024
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