Individual
LUCILO ALEXI MOREJON GUEDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3978 W HILLSBOROUGH AVE UNIT 21B, TAMPA, FL 33614-5628
(813) 906-1412
(813) 413-1971
Mailing address
6100 BLUE LAGOON DR STE 365, MIAMI, FL 33126-7010
(786) 322-7333
(786) 322-7329
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1492
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116038800
—
FL
Enumeration date
05/18/2021
Last updated
09/20/2023
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