Individual
DR. MIGUEL TELLADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0371
(352) 265-0238
(352) 265-0437
Mailing address
PO BOX 100371, GAINESVILLE, FL 32610-0371
(352) 265-0301
(352) 265-0627
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MFC1508
FL
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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