Organization
MATMED LLC
Active
Other names
MIAMI WELLNESS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL TELLERIA MD (PRESIDENT)
(305) 205-2306
Entity
Organization
Contact information
Practice address
8501 SW 124TH AVE STE 110, MIAMI, FL 33183-4631
(786) 808-8555
(786) 360-1100
Mailing address
9066 SW 73RD CT PH 2404, PINECREST, FL 33156-2972
(786) 808-8555
(786) 360-1100
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
ME121707
FL
Other
Enumeration date
07/18/2017
Last updated
06/19/2019
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