Provider Information for 1205471257
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CARIDAD GUERRA
Sex: Female
NPI: 1205471257
Last Updated: 2023-12-05
Certification Date: 2023-12-05
Certification Date: 2023-12-05
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1205471257 | ||||||||||||||
| Enumeration Date | 2019-11-14 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 4100 W KENNEDY BLVD STE 326 TAMPA, FL 33609-2257 United States Phone: 813-297-4883 | Fax: | ||||||||||||||
| Primary Practice Address | 4100 W KENNEDY BLVD STE 326 TAMPA, FL 33609-2257 United States Phone: 813-297-4883 | Fax: | ||||||||||||||
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