Organization
MEDICAL ASSOCIATES OF CENTRAL PINELLAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEO R TEYTELBAUM M.D. (PRESIDENT/OWNER)
(727) 344-7339
Entity
Organization
Contact information
Practice address
6450 38TH AVE N, SUITE #350, ST PETERSBURG, FL 33710-1645
(727) 344-7339
(727) 343-8470
Mailing address
6450 38TH AVE N, SUITE #350, ST PETERSBURG, FL 33710-1645
(727) 344-7339
(727) 343-8470
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME0044110
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069784200
—
FL
Enumeration date
03/12/2008
Last updated
02/16/2010
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