Individual
WILSON FERNANDO GUAMBANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OWNER
Contact information
Practice address
2140 W FLAGLER ST, STE 107, MIAMI, FL 33135-1662
(305) 600-3378
(305) 600-3421
Mailing address
2140 W FLAGLER ST, STE 107, MIAMI, FL 33135-1662
(305) 600-3378
(305) 600-3421
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT99506
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
821344174
—
FL
Enumeration date
01/28/2026
Last updated
01/28/2026
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