Provider Demographics
NPI:1275733065
Name:ALLEN JAY TEMAN MD, PA
Entity Type:Organization
Organization Name:ALLEN JAY TEMAN MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:TEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-346-0500
Mailing Address - Street 1:9750 NW 33RD ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4042
Mailing Address - Country:US
Mailing Address - Phone:954-346-0500
Mailing Address - Fax:954-346-0551
Practice Address - Street 1:9750 NW 33RD ST
Practice Address - Street 2:SUITE 207
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4042
Practice Address - Country:US
Practice Address - Phone:954-346-0500
Practice Address - Fax:954-346-0551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-20
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0059790174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty