Individual
MATTHEW J TEUSINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
(813) 558-6187
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
(813) 558-6187
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME112190
FL
207X00000X
Orthopaedic Surgery Physician
R8026
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005449300
—
FL
01
—
5817474
CIGNA
FL
01
—
9037854
AETNA
FL
Enumeration date
06/21/2007
Last updated
08/08/2012
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