MR. LEO R TEYTELBAUM


Address: 6450 38th Ave N, Suite #350, St Petersburg, FL 33710-1645
Phone: 7273447339

MR. LEO R TEYTELBAUM (NPI# 1053388512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053388512
Entity Type Individual
Full Name MR. LEO R TEYTELBAUM
Credential M.D.
Practice Address 6450 38th Ave N
Suite #350
St Petersburg
FL 33710-1645
Practice Telephone 7273447339
Practice Fax Number 7273438470
Mailing Telephone 7273447339
Mailing Fax Number 7273438470
Enumeration Date 2006-03-03
Last Update Date 2012-06-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine ME0044110 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 069784200 05

Office Location

Street Address 6450 38TH AVE N
SUITE #350
City ST PETERSBURG
State FL
Zip Code 33710-1645

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215932249 Narinder Trehan Internal Medicine 6450 38th Ave N, Suite 400, St Petersburg, FL 33710-1645 2005-06-16
1295199172 Coastal Foot & Ankle Specialists LLC Podiatrist 6450 38th Ave N, Suite 310, St Petersburg, FL 33710-1645 2016-04-07
1013399427 Women's Health Care St. Pete Clinic/Center 6450 38th Ave N, Suite 320, St Petersburg, FL 33710-1645 2015-06-22
1245649474 Hadjer Bounama Family Medicine 6450 38th Ave N, St Petersburg, FL 33710-1645 2014-08-13
1851633085 Heather Dawn Zelna Podiatrist 6450 38th Ave N, Suite 310, St Petersburg, FL 33710-1645 2013-03-26
1376885517 Brendon Taylor Zelna Podiatrist 6450 38th Ave N, Suite 310, St Petersburg, FL 33710-1645 2013-03-26
1508155904 Jenny E Michael Obstetrics & Gynecology 6450 38th Ave N, Siute 200, St Petersburg, FL 33710-1645 2011-04-06
1790091817 Stacy Dannielle Chase Family Medicine 6450 38th Ave N, Suite 400, St Petersburg, FL 33710-1645 2010-08-26
1376719625 Michelle M Arrieta-gonzalez Internal Medicine 6450 38th Ave N, St Petersburg, FL 33710-1645 2008-05-07
1528239068 Medical Associates of Central Pinellas Clinic/Center 6450 38th Ave N, Suite #350, St Petersburg, FL 33710-1645 2008-03-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1821566845 Harish J. Patel, Md Non-Pharmacy Dispensing Site 6449 38th Avenue North, Suite B3, Saint Petersburg, FL 33710 2018-11-07
1659860708 Lydia M Gomez Physical Therapist 6775 Crosswinds Dr. N, Saint Petersburg, FL 33710 2018-05-04
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1528429495 Frank Michael Massotto Jr. Nurse Practitioner 3251 66th St. North, St Petersburg, FL 33710 2016-03-18
1235522889 Toby Weinman Assisted Living Residence Assisted Living Facility 240 59th St N, St Petersburg, FL 33710 2015-03-06
1821415951 Ryan Troup Physician Assistant 603 - 7th St. S, Suite 360, Emergency Physicians of Saint Petersburg, Saint Petersburg, FL 33710 2014-03-26
1629491600 Garett Janes Sears Psychologist 1913 Tyrone Blvd, St. Petersburg, FL 33710 2014-01-28
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

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1225505571 Williamsmd LLC Internal Medicine 5901 Sun Blvd Ste 206, St Petersburg, FL 33715-1161 2018-10-25
1467990028 Medical Behavioral Services, Pa Internal Medicine 6101 9th St N, St Petersburg, FL 33703-1141 2017-02-03
1639555204 Priya Panara Internal Medicine 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 2015-08-06
1639501265 Bryant Wilson Internal Medicine 701 6th St. South, St Petersburg, FL 33701 2013-08-06
1639411077 Rebecca Lee Negron Internal Medicine 3520 38th Ave N, St Petersburg, FL 33713-1448 2013-03-24
1437438710 Jacek M Kucharewicz Internal Medicine 540 Trinity Ln N, #8412, St Petersburg, FL 33716-1278 2011-08-04
1104121920 Simarta Frances Brennan-prescod Internal Medicine 8950 Dr Martin Luther King Jr St N Ste 180, St Petersburg, FL 33702-3001 2011-01-26
1558662700 Mahmood Shahab Sori Internal Medicine 441 33rd St N, Apt #208, St Petersburg, FL 33713-9054 2010-11-04
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Competitor

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City ST PETERSBURG
Zip Code 33710

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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