Individual
DR. ROBERTA GIUDICE-TELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1010 NW 6TH ST, GAINESVILLE, FL 32601-4249
(352) 372-3474
(352) 372-1252
Mailing address
1010 NW 6TH ST, GAINESVILLE, FL 32601-4249
(352) 372-3474
(352) 372-1252
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO1675
FL
213ES0131X
Foot Surgery Podiatrist
PO 0001675
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030093
AVMED
FL
01
—
2135812
ATENA
FL
05
—
3900754-00
—
FL
01
—
480005976
RAILROAD MEDICARE
FL
01
—
87907
BLUE CROSS
FL
Enumeration date
07/27/2006
Last updated
03/06/2020
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