Miami Wellness

LBN: Matmed
Miami Wellness is an health care organization with primary practice located at 2020 Ponce De Leon Blvd Ste 103 , Coral Gables FL 33134-4475. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Matmed can be contacted via phone (786) 808-8555, or through Telleria, Miguel Angel via phone (786) 808-8555.

Contact Information

Primary practice address
2020 Ponce De Leon Blvd Ste 103 Coral Gables FL 33134-4475
Fax: (305) 982-8798
Website:
Authorized official contact:
Name: Telleria, Miguel Angel MD, MBA

Profile Details

NPI number 1649962366
LBN Legal business name Matmed
DBA Doing business as Miami Wellness
Authorized official Telleria, Miguel Angel MD, MBA
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2023
Last updated Sep 16th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649962366 NPPES
Florida MEDICAID 103418702

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