Individual
WALESKA OQUENDO-TIRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 CESERY BLVD, JACKSONVILLE, FL 32211-5674
(904) 551-5884
Mailing address
12171 SW 268TH ST, HOMESTEAD, FL 33032-8001
(305) 278-0200
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
10131
PR
Other
Enumeration date
05/09/2006
Last updated
04/26/2018
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