Individual
CANDICE GUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701
(727) 767-3053
(727) 767-4889
Mailing address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-3053
(727) 767-4889
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS15630
FL
390200000X
Student in an Organized Health Care Education/Training Program
UO 4535
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/01/2015
Last updated
09/27/2018
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