Individual
DR. RICHARD RUSSELL TEED JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12700 CREEKSIDE LN STE 301, FORT MYERS, FL 33919-3356
(239) 343-3780
(239) 343-3781
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-3780
(239) 343-3781
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0116019085
VA
2086S0129X
Vascular Surgery Physician
Primary
ME118100
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012728800
—
FL
Enumeration date
07/14/2007
Last updated
11/10/2025
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