Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Theodore Frank Matejka, ARNP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1396742490

Mr. Theodore Frank Matejka, ARNP-BC is a Nurse Practitioner in Daytona Beach, Florida. Qualified in 1998, 28 years ago. Practices with Sma Healthcare Inc, a 39-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
28
Licensed in
FL
In the registry since
2005
Specialties on file
2
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Practice location Address checks out

1150 Red John Dr
Daytona Beach, FL 32124-1016
Phone: (386) 236-1711
Fax: (386) 226-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence ARNP3074712 (FL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence ARNP3074712 (FL)

Record details

NPI number1396742490
Entity typeIndividual (Type 1)
GenderMale
Credentials ARNP-BC
Sole proprietorNo
NPI enumeratedJuly 5, 2005
Last updated in NPPESMarch 26, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Sma Healthcare Inc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Daytona Beach