NPI Code Details Logo

NPI 1801168802

NPI 1801168802 : MATTHEW TELTSER MD PLLC : PEMBROKE PINES, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1801168802
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    MATTHEW TELTSER MD PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/07/2012
-----------------------------------------------------
    Last Update Date     |    03/27/2012
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1779 N UNIVERSITY DR SUITE 204
-----------------------------------------------------
    City                 |    PEMBROKE PINES
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33024-0929
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    954-962-7200
-----------------------------------------------------
    Fax                  |    954-893-5936
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1779 N UNIVERSITY DR SUITE 204
-----------------------------------------------------
    City                 |    PEMBROKE PINES
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33024-0929
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     MATTHEW  TELTSER 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    954-962-7200
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207RC0000X
-----------------------------------------------------
    Taxonomy Name        |    Cardiovascular Disease Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.