Individual
DR. ISRAEL CHRISTOPHER UGALDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1399 HAMLET AVE, CLEARWATER, FL 33756-3331
(727) 441-4526
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
(813) 974-0483
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS15811
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
OS15811
FL
207RP1001X
Pulmonary Disease Physician
Primary
OS15811
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125884600
—
FL
01
—
W0267
BCBS
FL
Enumeration date
05/25/2016
Last updated
11/05/2025
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