DR. MARSHALL L TEITELBAUM (NPI# 1336241207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336241207 |
| Entity Type | Individual |
| Full Name | DR. MARSHALL L TEITELBAUM |
| Other Name | DR. MARSHALL L TEITELBAUM |
| Credential | MD |
| Practice Address |
641 University Blvd Su. 206 Jupiter FL 33458-2791 |
| Mailing Address |
641 University Blvd Ste 206 Jupiter FL 33458-2794 |
| Practice Telephone | 5616308530 |
| Practice Fax Number | 5616308531 |
| Mailing Telephone | 5616308530 |
| Mailing Fax Number | 5616308531 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2014-05-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME0064520 | FL | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
ME0064520 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 377387600 | 05 | |
| FL | MEDICAL LICENSE | ME0064520 | 01 |
| Street Address |
641 UNIVERSITY BLVD SU. 206 |
| City | JUPITER |
| State | FL |
| Zip Code | 33458-2791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447242268 | Abbas Rabiei | Internal Medicine | 641 University Blvd, Suite 211, Jupiter, FL 33458-2791 | 2005-08-18 |
| 1124531439 | Beer Dermatology Associates Pa | Dermatology | 641 University Blvd, Suite 212, Jupiter, FL 33458 | 2017-11-08 |
| 1801336383 | Marlene Maria Velasquez-sedito | Nurse Practitioner | 641 University Blvd, Suite #211, Jupiter, FL 33458-2791 | 2017-03-02 |
| 1114347713 | Kenneth R. Beer, Md Pa | Dermatology | 641 University Blvd, Suite 212, Jupiter, FL 33458-2791 | 2014-04-22 |
| 1083957732 | Coastal Internal Medicine of Jupiter, Pa | Internal Medicine | 641 University Blvd, Ste 211, Jupiter, FL 33458-2791 | 2013-04-01 |
| 1821369281 | Nicole Bagge Lmhc Inc. | Clinic/Center | 641 University Blvd, Ste 206, Jupiter, FL 33458-2791 | 2012-01-17 |
| 1114251105 | Tenet Florida Physician Services, LLC | Internal Medicine | 641 University Blvd, Ste 101, Jupiter, FL 33458-2791 | 2009-09-24 |
| 1750615746 | Tenet Florida Physician Services, LLC | Internal Medicine | 641 University Blvd, Ste 105, Jupiter, FL 33458-2791 | 2009-09-24 |
| 1588894174 | Sophia Jibodh | Internal Medicine | 641 University Blvd, Suite 211, Jupiter, FL 33458-2791 | 2009-07-17 |
| 1356504211 | Palm Beach Plastic Surgery Pa | Plastic Surgery | 641 University Blvd, Suite 103, Jupiter, FL 33458-2791 | 2008-07-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780978 | Palm Beach Concierge Pt, LLC | Physical Therapist | 1166 Egret Cir S, Jupiter, FL 33458 | 2020-04-27 |
| 1346714789 | Shirley Dumas Gilbert | Counselor | 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 | 2019-01-18 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
| 1588146930 | Joanna Peros | Psychologist | 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 | 2018-09-02 |
| 1528558301 | Brian Pratt | Registered Nurse | 871 University Blvd Apt 207, Jupiter, FL 33458 | 2018-05-16 |
| 1306352133 | Katherine Janis Rivera | Nurse Anesthetist, Certified Registered | Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 | 2017-12-15 |
| 1992235436 | Barborka Schmidt | Pharmacist | 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 | 2017-06-18 |
| 1114453834 | Elite-e Counseling | Social Worker | 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 | 2017-05-02 |
| 1669910667 | Kristy Lee Caronia | Nurse Anesthetist, Certified Registered | 175 Edenberry Ave, Jupiter, FL 33458 | 2017-02-09 |
| Find all providers in zip 33458 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053876524 | A & P Psychiatric Services, Pllc | Psychiatry & Neurology | 233 Porgee Rock Pl, Jupiter, FL 33458-1635 | 2019-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670959 | Md Support, LLC | Psychiatry & Neurology | 1110 Pinellas Bayway S Ste 102, Saint Petersburg, FL 33715-1506 | 2020-05-06 |
| 1700412947 | Clearminder Inc | Psychiatry & Neurology | 6801 Lake Worth Rd Ste 213-214, Greenacres, FL 33467-2955 | 2020-03-19 |
| 1407495575 | Doctor Sam, LLC | Psychiatry & Neurology | 2600 N Military Trl Ste 355, Boca Raton, FL 33431-6312 | 2020-01-06 |
| 1568937894 | D'morffi Family Services, L.l.c | Psychiatry & Neurology | 13475 Southern Blvd Ste 100, Loxahatchee, FL 33470-9233 | 2018-10-13 |
| 1548775273 | Embrace To Empower Wellness Center | Psychiatry & Neurology | 4720 Cleveland Heights Blvd Ste 305, Lakeland, FL 33813-2246 | 2017-12-04 |
| 1952829137 | Child and Adolescent Tampa Bay Psychiatry, LLC | Psychiatry & Neurology | 100 S Ashley Dr Ste 600, Tampa, FL 33602-5300 | 2017-09-07 |
| 1386183580 | Dr2go, Inc | Psychiatry & Neurology | 8860 Sw 123rd Ct, Miami, FL 33186-4152 | 2017-02-21 |
| 1851746069 | Hannah Elizabeth Morrissey | Psychiatry & Neurology | University of Florida Psychiatry Residency, 4037 Nw 86th Terrace, Gainesville, FL 32610-0001 | 2016-04-26 |
| 1891150488 | Tampa Bay Psychiatric Services Pl | Psychiatry & Neurology | 5664 Marquesas Cir, Sarasota, FL 34233-3331 | 2015-12-23 |
| 1851785323 | Javier Reyes | Psychiatry & Neurology | 2500 Nw 107th Ave Ste 102, Doral, FL 33172-5923 | 2015-03-23 |
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| 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.