Mationg, Teodulo Reyes

Mationg, Teodulo Reyes is an sole proprietor health care provider with primary practice located at 10201 Sr 52 , Hudson FL 34669. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mationg, Teodulo Reyes can be contacted via phone (727) 857-1818.

Contact Information

Primary practice address
10201 Sr 52 Hudson FL 34669
Phone: (727) 857-1818
Fax: (727) 857-1609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME 0028139 Florida

Profile Details

NPI number 1386739506
LBN Legal business name Mationg, Teodulo Reyes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Jun 4th, 2018 - about 6 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 1386739506 NPPES
Florida Other 225165 WELLCARE
Florida MEDICAID 063426301 WELLCARE
Florida Other 225165 WELLCARE

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