Individual
DR. ROBERTO GAUDDAH MENGUITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
947 TOWN CENTER DR, ORANGE CITY, FL 32763-8361
(386) 366-5530
(855) 936-1288
Mailing address
150 RIDGEWAY DR, BRIDGEPORT, WV 26330-1175
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
AS22959041564
WV
Other
Enumeration date
08/01/2007
Last updated
01/09/2025
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