Giudice-Teller, Roberta

Giudice-Teller, Roberta is an sole proprietor health care provider with primary practice located at 1010 Nw 6Th St , Gainesville FL 32601-4249. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Giudice-Teller, Roberta can be contacted via phone (352) 372-3474.

Contact Information

Primary practice address
1010 Nw 6Th St Gainesville FL 32601-4249
Phone: (352) 372-3474
Fax: (352) 372-1252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X PO 0001675 Florida
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO1675 Florida

Profile Details

NPI number 1710901145
LBN Legal business name Giudice-Teller, Roberta
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Mar 6th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710901145 NPPES
Florida Other 87907 BLUE CROSS
Florida Other 2135812 BLUE CROSS
Florida Other 480005976 BLUE CROSS
Florida Other 030093 BLUE CROSS
Florida MEDICAID 3900754-00 BLUE CROSS

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