Individual
MICHAEL TEDLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2210 61ST ST W, BRADENTON, FL 34209-5527
(941) 747-8789
Mailing address
2210 61ST ST W, BRADENTON, FL 34209-5527
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL2769
NV
207RC0000X
Cardiovascular Disease Physician
Primary
ME149544
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2015
Last updated
11/15/2022
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