Organization
JEFFREY L TEDDER, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY L TEDDER MD (OWNER)
(727) 522-8838
Entity
Organization
Contact information
Practice address
5015 4TH ST N, ST PETERSBURG, FL 33703-2901
(727) 522-8838
(727) 520-0292
Mailing address
5015 4TH ST N, ST PETERSBURG, FL 33703-2901
(727) 522-8838
(727) 520-0292
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0062879
FL
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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