Individual
GUERDA ETIENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
312 S LAKE ST, LEESBURG, FL 34748-5934
(352) 314-9300
(352) 314-9212
Mailing address
1109 SW 10TH ST, OCALA, FL 34474-2725
(352) 629-3455
(352) 629-8642
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9103734
FL
Other
Enumeration date
01/19/2007
Last updated
03/22/2023
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