Individual
DR. TAL TEDDY ROUDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
550 BILTMORE WAY, SUITE 890, CORAL GABLES, FL 33134-5730
(305) 443-3531
(305) 567-1519
Mailing address
550 BILTMORE WAY, SUITE 890, CORAL GABLES, FL 33134-5730
(305) 443-3531
(305) 567-1519
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
237007-1
NY
2086S0122X
Plastic and Reconstructive Surgery Physician
MD422549
PA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME 97250
FL
Other
Enumeration date
05/14/2007
Last updated
07/11/2007
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