Individual
MICHAEL T TALERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-7002
(352) 273-7388
Mailing address
PO BOX 112727, GAINESVILLE, FL 32611-2727
(352) 273-7002
(352) 273-7388
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME146962
FL
207XX0801X
Orthopaedic Trauma Physician
MD60738157
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108070200
—
FL
05
—
1427318070
—
WA
01
—
8966636
MEDICARE PIN
WA
Enumeration date
05/16/2012
Last updated
05/11/2021
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