Individual
CLAUDIA LORENA GAVIRIA AGUDELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3603
(813) 974-2201
(813) 974-2812
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
(813) 974-2812
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
33254
AL
2080P0208X
Pediatric Infectious Diseases Physician
Q0443
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106475200
—
FL
01
—
M1EFT
BLUE CROSS BLUE SHIELD
FL
01
—
MM528
MEDICARE
FL
Enumeration date
08/20/2009
Last updated
10/27/2020
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