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JEFFREY L TEDDER, MD, PA
NPI 1871831560
Specialist in St Petersburg, FL

Active since January 30, 2013
5015 4TH ST N, ST PETERSBURG, FL 33703(727) 522-8838(727) 520-0292 Get Directions Write a Review

NPPES record last updated: January 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey L Tedder, Md, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY L TEDDER, MD, PA (NPI 1871831560) is a healthcare organization registered as a specialist in St Petersburg, Florida and active in the NPI registry since January 2013. The organization lists Jeffrey L Tedder, Owner, as its authorized official.

NPPES Registry Identity

NPI1871831560
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJEFFREY L TEDDER, MD, PA
Location Address5015 4TH ST NSt Petersburg, FL 33703-2901
Mailing Address5015 4th St NSt Petersburg, FL 33703-2901 · (727) 522-8838 · Fax (727) 520-0292
Phone(727) 522-8838
Fax(727) 520-0292
Organization SubpartNo
Authorized OfficialJeffrey L TedderOwner · (727) 522-8838
Enumeration DateJanuary 30, 2013
✔ NPI 1871831560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME0062879
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5015 4TH ST N, St Petersburg, FL 33703
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Other Identifiers 1

Medicare UPINE91808FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRUESCAN MRI LLC
Radiology (Diagnostic Radiology)
5015 4TH ST N
SAINT PETERSBURG, FL 33703
Pinellas County (727) 709-5058
TRUESCAN MEDICAL LLC
Clinic/Center (Radiology)
5015 4TH ST N
ST PETERSBURG, FL 33703
Pinellas County (727) 256-0095
SUMMERS ANTI-AGING CENTER LLC
Family Medicine
5015 4TH ST N
SAINT PETERSBURG, FL 33703
Pinellas County (727) 709-5058

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey L Tedder, MD, PA's NPI number?

The NPI number for Jeffrey L Tedder, MD, PA is 1871831560. It was assigned to this organization in the NPPES registry on January 30, 2013.

Where is Jeffrey L Tedder, MD, PA located?

Jeffrey L Tedder, MD, PA is located at 5015 4th St N, St Petersburg, FL 33703. The listed phone number is (727) 522-8838.

What is Jeffrey L Tedder, MD, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jeffrey L Tedder, MD, PA was last updated on January 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.