Individual
WALDO R GUERRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3603
(813) 259-0904
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
2084V0102X
Vascular Neurology Physician
Primary
ME112608
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012485000
—
FL
01
—
14V1D
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/30/2008
Last updated
12/14/2020
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