Individual
GUALBERTO OQUENDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 ALMOND ST, CLERMONT, FL 34711-3124
(352) 404-6959
(352) 404-6960
Mailing address
720 ALMOND ST, CLERMONT, FL 34711-3124
(352) 404-6959
(352) 404-6960
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
114521
FL
208100000X
Physical Medicine & Rehabilitation Physician
18433
PR
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME114521
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007737500
—
FL
Enumeration date
09/17/2008
Last updated
03/17/2018
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