Individual
DR. GUSTAVO IVAN CADAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
WAMC, 2817 RIELLY RD, BOX 85, FORT BRAGG, NC 28310-0001
(786) 489-0165
Mailing address
WAMC, 2817 RIELLY RD, BOX 85, FORT BRAGG, NC 28310-0001
(786) 489-0165
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS 6548
FL
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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