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NPI Code Detail

MEDICARE: DR. JESSICA ANN TEAV M.D.

MEDICARE:  DR. JESSICA ANN TEAV  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianME108086FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P01372817OTHERFLMEDICARE RAILROAD PROVIDER NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750680740
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESSICA ANN TEAV M.D.
Provider Business Mailing Address
First Line : PO BOX 10744
Second Line :
City : CLEARWATER
State : FL
Zip : 33757-8744
Country : US
Telephone Number : 727-532-0002
Fax Number : 727-266-4943
Provider Business Practice Location Address
First Line : 3085 DR MARTIN LUTHER KING ST N
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33704-2034
Country : US
Telephone Number : 727-822-3238
Fax Number : 727-823-1278
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2011
Last Update Date : 03/14/2017

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Directions to “ DR. JESSICA ANN TEAV M.D.” Practice Location

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