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Individual

DR. FRED F TELISCHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1120 NW 14TH ST, MIAMI, FL 33136-2107
(305) 243-1484
Mailing address
1120 NW 14TH ST, MIAMI, FL 33136-2107
(305) 243-1484

Taxonomy

Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
ME49637
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0628859-00
FL
Enumeration date
07/14/2006
Last updated
07/16/2013
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