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Individual

DANIEL PAUL TELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1995 E OAKLAND PARK BLVD STE 310, FORT LAUDERDALE, FL 33306-1138
(954) 791-6146
(954) 337-2733
Mailing address
1995 E OAKLAND PARK BLVD STE 310, FORT LAUDERDALE, FL 33306-1138
(954) 791-6146
(954) 337-2733

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109236
FL
363AM0700X
Medical Physician Assistant
5601001590
MI

Other

Enumeration date
02/26/2007
Last updated
05/05/2020
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