John Tedesco
Family Doctor
2100 Via Bella Blvd Ste. 204
Land O Lakes
, Florida 34639-5429
John Tedesco
Family Doctor
2100 Via Bella Blvd Ste. 204
Land O Lakes
, Florida 34639-5429
(813) 528-4975
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- John Tedesco
- 38135 Market Square
- Zephyrhills, FL
- Zip : 33542
- Phone : (813) 528-4975
Second Address
- John Tedesco
- 2100 Via Bella Blvd Ste. 204
- Land O Lakes, FL
- Zip : 34639-5429
- Fax : (813) 377-1678
- Phone : (813) 751-3636
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | OS6814 | FL |
National Provider Identifier
| NPI | 1003839044 |
|---|---|
| Provider Name | John Tedesco |
| First Address | Zephyrhills, FL 33542 |
| Second Address | Land O Lakes, FL 34639-5429 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/07/2006 |
| Last Update Date | 04/11/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 080141113 | RR MEDICARE (01) | FL |
| 253803200 | (05) | FL |
| B34952 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.