Healthcare Provider Details

I. General information

NPI: 1205646445
Provider Name (Legal Business Name): TELEBP FLORIDA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2025
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SW 75TH ST STE 105
GAINESVILLE FL
32607-5775
US

IV. Provider business mailing address

100 SW 75TH ST STE 105
GAINESVILLE FL
32607-5775
US

V. Phone/Fax

Practice location:
  • Phone: 317-919-2496
  • Fax:
Mailing address:
  • Phone: 317-919-2496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KEITH LEONARD MARCH
Title or Position: OWNER
Credential: MD, PHD
Phone: 317-919-2496