Individual
GINO CUELLO GUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
915 SONESTA AVE NE, PALM BAY, FL 32905-6339
(321) 302-0840
Mailing address
915 SONESTA AVE NE, PALM BAY, FL 32905-6339
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
25-287
WI
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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