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Contact Information

JEREMY B TEBLUM, MSED, ATC, LAT
265 E ROLLINS ST
ORLANDO, FL32804
 Phone: 813-727-6373
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for JEREMY B TEBLUM · (Male)

NPI Number 1548492630
Status Active
Credentials MSED, ATC, LAT
Entity Individual
Enumeration date 08/22/2009
Last updated 09/27/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # AL6740
  • TX License # AT7004
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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