Jeffrey L Tedder, MD, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0062879 Issued in FL

Legal business name

JEFFREY L TEDDER, MD, PA

Practice address

5015 4TH St N
St Petersburg, FL 33703-2901

Phone

(727) 522-8838

Fax

(727) 520-0292

NPI assigned

Jan 30, 2013

Last updated

Jan 30, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey L Tedder, MD

Title

Owner

Phone

(727) 522-8838

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1871831560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337032901",
            "telephone_number": "727-522-8838",
            "fax_number": "727-520-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337032901",
            "telephone_number": "727-522-8838",
            "fax_number": "727-520-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY L TEDDER, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "TEDDER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-522-8838",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0062879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brent Pinder Jenkins

• Specialist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.