Individual
CHARLES TEEBAGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 N FEDERAL HWY, #110, POMPANO BEACH, FL 33062-1095
(954) 941-5731
(954) 941-2706
Mailing address
7800 SW 87TH AVE, SUITE C-350, MIAMI, FL 33173-2539
(954) 731-9676
(954) 731-9747
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME13828
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049580800
—
FL
Enumeration date
10/18/2005
Last updated
07/16/2015
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