Individual
CARLOS TELLECHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15507-15 NW 67TH AVE, MIAMI, FL 33014-2174
(305) 821-8611
(305) 827-1753
Mailing address
900 S PINE ISLAND RD, SUITE 800, PLANTATION, FL 33324-3920
(305) 821-8611
(305) 827-1753
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME35652
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065974600
—
FL
Enumeration date
10/07/2005
Last updated
10/09/2013
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