Provider Demographics
NPI:1518113174
Name:DAVID TEITELBAUM MD PA DBA WOMENS HEALTH CENTER OF FLORIDA
Entity Type:Organization
Organization Name:DAVID TEITELBAUM MD PA DBA WOMENS HEALTH CENTER OF FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:386-775-4448
Mailing Address - Street 1:942 SAXON BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:ORANGE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32763-8358
Mailing Address - Country:US
Mailing Address - Phone:386-775-4448
Mailing Address - Fax:386-775-4449
Practice Address - Street 1:942 SAXON BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-8358
Practice Address - Country:US
Practice Address - Phone:386-775-4448
Practice Address - Fax:386-775-4449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-14
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty