Individual
LYDA CUERVO PARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD # 100277, GAINESVILLE, FL 32610
(312) 695-4000
Mailing address
1600 SW ARCHER RD # 100277, GAINESVILLE, FL 32610-3003
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ACK
OH
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
ME135311
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025172300
—
FL
Enumeration date
07/09/2013
Last updated
08/21/2018
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