| Dr Dudley Gardner Teel, MD | |
|
1000 36th St, Vero Beach, FL 32960-4862 | |
| (772) 567-4311 | |
| (772) 563-4440 |
| Full Name | Dr Dudley Gardner Teel |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 1000 36th St, Vero Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154363620 | NPI | - | NPPES |
| 695629 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | ME0044584 (Florida) | Primary |
| Entity Name | Mid-florida Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558630152 PECOS PAC ID: 8426213596 Enrollment ID: O20120625000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dudley Gardner Teel, MD 4800 16th St, Vero Beach, FL 32966-2369 Ph: (772) 567-8380 | Dr Dudley Gardner Teel, MD 1000 36th St, Vero Beach, FL 32960-4862 Ph: (772) 567-4311 |
Dr. Philip Miles Buttaravoli, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 755 27th Ave Sw, Suite 9, Vero Beach, FL 32968 Phone: 772-299-0909 Fax: 772-299-0989 | |
Dr. Kassra - Michael Khazalpour, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 | |
Dr. Timothy Adkins, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 960 48th Ave, Vero Beach, FL 32966 Phone: 772-778-0409 | |
Dr. Kathleen Fraga, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1960 Pointe West Dr, Vero Beach, FL 32966 Phone: 772-226-4250 Fax: 772-226-4253 | |
Salvatore Vassallo Iii, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 813-916-2347 | |
Thomas P Gambino, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 Fax: 904-346-0113 |