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General NPI Number Information
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NPI Number | 1518113174
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Entity Type | Organization
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Legal Business Name | DAVID TEITELBAUM MD PA DBA WOMENS HEALTH CENTER OF FLORIDA
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Dates
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Enumeration Date | 08/14/2008
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Last Update Date | 08/14/2008
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Provider Practice Location Address
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Address Line | 942 SAXON BLVD SUITE A
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City | ORANGE CITY
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State | FL
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Zip | 32763-8358
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Country | US
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Telephone | 386-775-4448
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Fax | 386-775-4449
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Provider Business Mailing Address
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Address Line | 942 SAXON BLVD SUITE A
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City | ORANGE CITY
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State | FL
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Zip | 32763-8358
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Country | US
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Telephone | 386-775-4448
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Fax | 386-775-4449
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Authorized Official
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Title or Position | OWNER
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Name | ANTHONY PERRIN
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Credential | MD
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Telephone | 386-775-4448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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