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Theodore Matejka, ARNP-BC

NPI 1396742490 · on the registry since 2005

Practice

Address
1150 Red John Dr
Daytona Beach, FL 32124
Phone
(386) 236-1711
Fax
(386) 226-0200
Organisation at this address
Sma Healthcare Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
28

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Also registered as
363LA2200X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-03-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida