Individual
DR. JUAN CARLOS TELLERIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5961 SW 136TH ST, PINECREST, FL 33156-7209
(305) 775-1599
Mailing address
5961 SW 136TH ST, PINECREST, FL 33156-7209
(305) 775-1599
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
ME 124558
FL
Other
Enumeration date
08/28/2008
Last updated
12/17/2024
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