Organization
ROBERTA GIUDICE-TELLER DPM PA
Active
Organization
ROBERTA GIUDICE-TELLER DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTA GIUDICE-TELLER DPM (PHYSICIAN)
(352) 372-3474
Entity
Organization
Contact information
Practice address
1010 NW 6TH ST, GAINESVILLE, FL 32601-4249
(352) 372-3474
Mailing address
1010 NW 6TH ST, GAINESVILLE, FL 32601-4249
(352) 372-3474
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PO 0001675
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480005976
RR MEDICARE
FL
Enumeration date
10/30/2007
Last updated
06/21/2010
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