Gaviria Agudelo, Claudia Lorena
Gaviria Agudelo, Claudia Lorena is an individual health care provider with primary practice located at 2 Tampa General Cir , Tampa FL 33606-3603. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Gaviria Agudelo, Claudia Lorena can be contacted via phone (813) 974-2201.Contact Information
Primary practice address
2 Tampa General Cir
Tampa FL 33606-3603
Phone: (813) 974-2201
Fax: (813) 974-2812
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | Q0443 | Texas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 33254 | Alabama |
Profile Details
| NPI number | 1548492895 |
|---|---|
| LBN Legal business name | Gaviria Agudelo, Claudia Lorena |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2009 |
| Last updated | Oct 27th, 2020 - about 5 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 | 1548492895 | NPPES |
| Florida | Other | M1EFT | BLUE CROSS BLUE SHIELD |
| Florida | MEDICAID | 106475200 | BLUE CROSS BLUE SHIELD |
| Florida | Other | MM528 | BLUE CROSS BLUE SHIELD |
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