ROBERTA GIUDICE-TELLER DPM PA
Medical Practice at 6 St, Gainesville, FL

License number
Florida PO 0001675
Category
Medical Practice
Type
Foot Surgery
Owner
Name: DR. ROBERTA GIUDICE-TELLER DPM
Title: PHYSICIAN
Phone: (352) 372-3474
Address
Address
1010 NW 6Th St, Gainesville, FL 32601
National Provider ID: 1932388709
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ROBERTA GIUDICE-TELLER DPM PA at bizstanding.com

DR. ROBERTA GIUDICE-TELLER, D.P.M., PA

Gainesville, FL

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
Aug 1, 1983
Inactive since:
Nov 12, 1996
Addresses:
1010 NW 6 St, Gainesville, FL 32601 (Physical)
1010 N.w 6 St, Gainesville, FL 32601 (Mailing)
State ID:
G54421
Business type:
Florida Profit Corporation
Treasurer, Secretarys:
Roberta Dr Giudice-Teller (President, Secretary), 1010 NW 6 St, Gainesville, FL 32601 (Physical),Keith M Teller (Treasurer, Secretary), 1010 NW 6 St, Gainesville, FL 32601 (Physical)
Agent:
Roberta . Giudice-Teller,1010 NW 6 St, Gainesville, FL 32601 (Physical)
EIN:
59-2391405

Medical Practice licenses in Florida










Other Doctors licenses in Florida