# MATMED LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** MIAMI WELLNESS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992531750
- **Authorized official:** MIGUEL ANGEL TELLERIA MD, MBA (PRESIDENT)
- **Authorized official phone:** (305) 205-2306

## Contact information

- **Practice address:** 13302 WINDING OAK CT STE A, TAMPA, FL 33612-3425
- **Practice address phone:** (786) 808-8555
- **Practice address fax:** (786) 360-1100
- **Mailing address:** 9066 SW 73RD CT PH 2404, PINECREST, FL 33156-2972
- **Mailing address phone:** (786) 808-8555
- **Mailing address fax:** (786) 360-1100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 09/10/2024
- **Last updated:** 09/10/2024