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Individual

DR. ERIC BOYD TEACHOUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
16521 SAN CARLOS BLVD STE 220, FORT MYERS, FL 33908-5245
(239) 466-5656
(239) 466-1102
Mailing address
16521 SAN CARLOS BLVD STE 220, FORT MYERS, FL 33908-5245
(239) 466-5656
(239) 466-1102

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2301007757
MI
111N00000X
Chiropractor
Primary
CH 12025
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4ZZ2M
FLORIDABLU
FL
01
950A350040
BCBS
MI
01
P107612
BCN
MI
Enumeration date
07/06/2006
Last updated
11/07/2022
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