Individual
CHEUNG TAL TEAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8000 SR 64 E, COASTAL ORTHOPEDICS & SPORTS MEDICINE OF, FL 34212
(941) 792-1404
(941) 761-0712
Mailing address
8000 SR 64 E, COASTAL ORTHOPEDICS & SPORTS MEDICINE OF, FL 34212
(941) 792-1404
(941) 761-0712
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT18064
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7611347
GHI INDIV PROV NUM
FL
05
—
890855900
—
FL
01
—
P00112161
RAIL ROAD MEDICARE
FL
01
—
P00429963
RAIL ROAD MEDICARE
FL
01
—
Y7854
BCBS INDIV PROV NUM
FL
Enumeration date
06/02/2006
Last updated
02/14/2024
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