Provider Demographics
NPI:1285190363
Name:NORTH FLORIDA NATUROPATHIC, PLLC
Entity Type:Organization
Organization Name:NORTH FLORIDA NATUROPATHIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TEEGAN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:FIEDLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC, ND
Authorized Official - Phone:312-354-0464
Mailing Address - Street 1:2545 ULYSSES RD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32312-4850
Mailing Address - Country:US
Mailing Address - Phone:312-354-0464
Mailing Address - Fax:
Practice Address - Street 1:4004 NORTON LN STE 102
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5973
Practice Address - Country:US
Practice Address - Phone:850-583-0909
Practice Address - Fax:850-765-0135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-14
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty