Organization
CARRASQUERO PEDIATRICS AND ASSOCIATES
Active
Other names
Wekiva Springs Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUISA CARRASQUERO MD (MD)
(407) 790-7998
Entity
Organization
Contact information
Practice address
407 WEKIVA SPRINGS ROAD, SUITE 110, LONGWOOD, FL 32779
(407) 790-7998
(407) 951-8821
Mailing address
407 WEKIVA SPRINGS ROAD, SUITE 110, LONGWOOD, FL 32779
(407) 790-7998
(407) 951-8821
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME99334
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279635000
—
FL
Enumeration date
08/30/2012
Last updated
08/30/2012
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