Healthcare Provider Details

I. General information

NPI: 1083355234
Provider Name (Legal Business Name): BETTINA TENG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2022
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3066 SW MARTIN DOWNS BLVD
PALM CITY FL
34990-2683
US

IV. Provider business mailing address

3066 SW MARTIN DOWNS BLVD
PALM CITY FL
34990-2683
US

V. Phone/Fax

Practice location:
  • Phone: 772-419-3320
  • Fax:
Mailing address:
  • Phone: 772-419-3320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME179470
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: