Individual
DR. ANA C OQUENDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4156 5TH AVE N, SAINT PETERSBURG, FL 33713-6304
(727) 327-2714
(727) 683-9921
Mailing address
4156 5TH AVE N, SAINT PETERSBURG, FL 33713-6304
(727) 327-2714
(727) 683-9921
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
ME0060595
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105515
UNITED HEALTHCARE ID
FL
01
—
0433552
CIGNA ID NUMBER
FL
01
—
12945
BCBS ID NUMBER
FL
Enumeration date
05/04/2006
Last updated
06/19/2008
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