Individual
JOSE A GAUDIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1740 SE 18TH ST STE 1202, OCALA, FL 34471-4670
(352) 732-8630
(352) 867-7895
Mailing address
1740 SE 18TH ST STE 1202, OCALA, FL 34471-4670
(352) 732-8630
(352) 867-7895
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME0060291
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010875404
HUMANA
FL
05
—
055513400
—
FL
01
—
12485
BCBS OF FL
FL
01
—
214728
AVMED
FL
01
—
7218232004
CIGNA
FL
01
—
P00382019
RR MEDICARE
FL
Enumeration date
10/04/2006
Last updated
09/23/2013
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