Teammd Physicians PC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

TEAMMD PHYSICIANS PC

Practice address

10151 Deerwood Park Blvd Ste 420
Jacksonville, FL 32256-0566

Phone

(952) 202-2925

NPI assigned

Jul 29, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donna Forrest

Title

VP

Phone

(651) 414-8735

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1316591316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 BREN RD E # NJ975",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439664",
            "telephone_number": "800-957-6046",
            "fax_number": "866-239-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 DEERWOOD PARK BLVD STE 420",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560566",
            "telephone_number": "952-202-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAMMD PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-29",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "FORREST",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "651-414-8735"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cara Elizabeth Teague, OTR
• Summer Christian Teague
• Daniel B Teahan, PT
• Vicki Teal, FNP
• Team Williams Limited Liability Company
• Abigail Louise Teano
• Renee Marie Tebon, PA-C
• Angelito B Tecson, MD
• Teekares Home Care Services LLC
• Lauren Kristi Teele, CRNA

• Adult Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.