Organization
MATMED LLC
Active
Other names
Miami Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL ANGEL TELLERIA MD (PHYSICIAN/OWNER)
(786) 808-8555
Entity
Organization
Contact information
Practice address
300 NW 70TH AVE STE 102, PLANTATION, FL 33317-2360
(786) 808-8555
(786) 360-1100
Mailing address
9066 SW 73RD CT PH 2404, MIAMI, FL 33156-2972
(786) 808-8555
(786) 360-1100
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
09/16/2023
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