Individual
MARIA IMELDA MATONDO BAGUIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
410 CELEBRATION PL STE 103, CELEBRATION, FL 34747-5432
(407) 303-4655
Mailing address
410 CELEBRATION PL STE 103, CELEBRATION, FL 34747-5432
(407) 303-4655
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
95008174
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP9255153
FL
Other
Enumeration date
12/23/2015
Last updated
01/31/2023
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