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Individual

DR. GUILLERMO ALFREDO GARRIDO ROSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(888) 912-3648
(321) 841-4085
Mailing address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(888) 912-3648
(321) 841-4085

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A136572
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME136630
FL
207RP1001X
Pulmonary Disease Physician
A136572
CA
207RP1001X
Pulmonary Disease Physician
Primary
ME136630
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100333900
FL
01
43WO0
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/19/2009
Last updated
06/23/2021
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