Cardet Guisasaola, Juan Carlos
Cardet Guisasaola, Juan Carlos is an individual health care provider with primary practice located at 13330 Usf Laurel Dr , Tampa FL 33612-6601. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Cardet Guisasaola, Juan Carlos can be contacted via phone (813) 974-2201.Contact Information
Primary practice address
13330 Usf Laurel Dr
Tampa FL 33612-6601
Phone: (813) 974-2201
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 247405 | Massachusetts |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 12022R | Puerto Rico |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | ME133105 | Florida |
Profile Details
| NPI number | 1003071713 |
|---|---|
| LBN Legal business name | Cardet Guisasaola, Juan Carlos |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2008 |
| Last updated | Mar 30th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003071713 | NPPES |
| Florida | MEDICAID | 022650100 | |
| Florida | Other | IFANC |
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