Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | ME65759 | FL |
NPI | 1003811548 |
---|---|
Provider Name | Dr. Janet Carol Teltscher |
First Address | Aventura, FL 33180-1231 |
Second Address | Aventura, FL 33180-1231 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2005 |
Last Update Date | 28/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E44299 | (02) | FL |