Michael P. Teepe PA
Surgical Physician Assistant in Melbourne, FL(View on Map)
Full Name
Michael P Teepe PA
NPI Number
1255877981
NPI Type
Individual Provider
Gender
Male
Enumeration Date
01/19/2017
Specialties
(Taxonomies)Code
363AS0400X
363AM0700X
Primary Taxonomy
Yes
No
Licenses
State
Florida
Florida
License Number
PA9110026
PA9102926
Contact
Information
Purpose
Mailing
Location
Address
2222 S. HARBOR CITY BLVD
2222 S. HARBOR CITY BLVD
City
Melbourne
Melbourne
State
FL
FL
Postal Code
32901
32901
Country
US
US
Telephone Number
(321) 768-9914
(321) 768-9914
Identifiers
Identifier
120065100
RW988
Identifier State
FL
FL
Identifier Issuer
Unknown
MEDICARE HF
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/30/2023
Provider Address
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