Individual
DR. DANA DELORES TEAGARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 975-0406
Mailing address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 975-0406
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
DO1550
TN
207V00000X
Obstetrics & Gynecology Physician
Primary
OS15395
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100191000
—
FL
01
—
4066101
TENNCARE PROVIDER
TN
01
—
4283643
BLUE CROSS BLUE SHIELD OF TENNESSEE
TN
Enumeration date
10/12/2006
Last updated
01/31/2024
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