Organization
MATMED LLC
Active
Other names
MIAMI WELLNESS
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL ANGEL TELLERIA MD, MBA (PRESIDENT)
(305) 205-2306
Entity
Organization
Contact information
Practice address
13302 WINDING OAK CT STE A, TAMPA, FL 33612-3425
(786) 808-8555
(786) 360-1100
Mailing address
9066 SW 73RD CT PH 2404, PINECREST, FL 33156-2972
(786) 808-8555
(786) 360-1100
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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