| Daniel Paul Teller, PA-C | |
|
1995 E Oakland Park Blvd Ste 310, Fort Lauderdale, FL 33306-1138 | |
| (954) 791-6146 | |
| (954) 337-2733 |
| Full Name | Daniel Paul Teller |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1995 E Oakland Park Blvd Ste 310, Fort Lauderdale, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407982366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5601001590 (Michigan) | Secondary |
| 363A00000X | Physician Assistant | PA9109236 (Florida) | Primary |
| Entity Name | Florida Practitioners, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528456548 PECOS PAC ID: 1658688304 Enrollment ID: O20150914001996 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Paul Teller, PA-C 1995 E Oakland Park Blvd Ste 310, Fort Lauderdale, FL 33306-1138 Ph: (954) 791-6146 | Daniel Paul Teller, PA-C 1995 E Oakland Park Blvd Ste 310, Fort Lauderdale, FL 33306-1138 Ph: (954) 791-6146 |
Tito Velasquez, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1160 N Federal Hwy Apt 1023, Fort Lauderdale, FL 33304 Phone: 312-833-1183 |
Miss Kathy Ann Zimmer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6550 N Federal Hwy, Suite 512, Fort Lauderdale, FL 33308 Phone: 954-267-8777 Fax: 954-772-7801 |
Jean L Tolson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6550 N Federal Hwy, Suite 512, Fort Lauderdale, FL 33308 Phone: 954-267-8777 Fax: 954-772-7801 |
Mrs. Ameeta Rana Kumar, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 E Commercial Blvd, Fort Lauderdale, FL 33334 Phone: 954-351-0202 |
Neal Hodges Fouke, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3015 N Ocean Blvd Ste C101, Fort Lauderdale, FL 33308 Phone: 754-270-6322 |
Matthew M Hendricks, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2838 E. Oakland Park Boulevard, S. 201, Fort Lauderdale, FL 33306 Phone: 954-564-0040 Fax: 954-217-3222 |
Karly Jean Marie Turgeon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6000 N Federal Hwy, Fort Lauderdale, FL 33308 Phone: 954-771-2551 |