Matejka, Theodore Frank

Matejka, Theodore Frank is an individual health care provider with primary practice located at 1150 Red John Dr , Daytona Beach FL 32124-1016. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Matejka, Theodore Frank can be contacted via phone (386) 236-1711.

Contact Information

Primary practice address
1150 Red John Dr Daytona Beach FL 32124-1016
Phone: (386) 236-1711
Fax: (386) 226-0200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP3074712 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP3074712 Florida

Profile Details

NPI number 1396742490
LBN Legal business name Matejka, Theodore Frank
Credentials ARNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Mar 26th, 2013 - about 11 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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