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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003071713 NPPES
Florida MEDICAID 022650100
Florida Other IFANC

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