Individual
GUADALUPE C RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2728 SAINT CLOUD OAKS DR, VALRICO, FL 33594-4236
(954) 483-3414
Mailing address
2728 SAINT CLOUD OAKS DR, VALRICO, FL 33594-4236
(954) 483-3414
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
FL
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021704300
—
FL
Enumeration date
12/15/2010
Last updated
03/01/2019
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