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Contact Information

DOUGLAS M TEW MD LLC
2 PAVILION PLACE
PENNEY FARMS, FL32079
 Phone: 904-945-1224
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DOUGLAS M TEW MD LLC

NPI # 1114482494
LBN Legal business name DOUGLAS M TEW MD LLC
Authorized official DOUGLAS TEW - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/31/2019
Last updated 01/31/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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