Renata Teytelbaum, M.D., P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME56418 Issued in FL

Legal business name

RENATA TEYTELBAUM, M.D., P.A.

Practice address

585 Main St
Suite 101
Dunedin, FL 34698-4918

Phone

(727) 734-6777

Fax

(727) 734-6440

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Renata Teytelbaum, M.D.

Title

President

Phone

(727) 734-6777

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1972716660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1228",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346971228",
            "telephone_number": "727-734-6777",
            "fax_number": "727-734-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 MAIN ST",
            "address_2": "SUITE 101",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346984918",
            "telephone_number": "727-734-6777",
            "fax_number": "727-734-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENATA TEYTELBAUM, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "TEYTELBAUM",
        "authorized_official_first_name": "RENATA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-734-6777",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME56418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "40156",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raveling Chiropractic Center PA
• Paul A Raveling, D.C.
• Taylor Arianne Ray
• Raymond D.Hansen M D P.a
• Shawn A Reed, ARNP
• Michael Rendon
• Rescare Florida, Inc.
• Rescare Florida, Inc.
• Mayur M Reshamwala, DC
• Mailey Reyes Ruiz

• Family Medicine Physician in Dunedin, FL
• Providers in Dunedin, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.