Individual
LARISSA ANTONIA GUERRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1071 S SUN DR, SUITE 1043, LAKE MARY, FL 32746-2405
(407) 333-1616
(407) 333-1617
Mailing address
1071 S SUN DR, SUITE 1043, LAKE MARY, FL 32746-2405
(407) 333-1616
(407) 333-1617
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME 121834
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342677
—
SC
Enumeration date
08/28/2009
Last updated
06/29/2015
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