Organization
DR A C OQUENDO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARON B SHAW (OFFICE MANAGER)
(727) 329-8970
Entity
Organization
Contact information
Practice address
4156 5TH AVE N, ST PETERSBURG, FL 33713-6304
(727) 329-8970
(727) 683-9921
Mailing address
4156 5TH AVE N, ST PETERSBURG, FL 33713-6304
(727) 329-8970
(727) 683-9921
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME0060595
FL
Other
Enumeration date
05/19/2009
Last updated
06/05/2009
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