Male or Other

Juan Carlos Cardet Guisasaola MD

Allergy & Immunology Physician in Tampa, FL(View on Map)

Full Name

Juan Carlos Cardet Guisasaola MD

NPI Number

1003071713

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/22/2008

Specialties

(Taxonomies)

Code

207K00000X
207R00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida
Massachusetts
Puerto Rico

License Number

ME133105
247405
12022R

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 917770
13330 USF LAUREL DR

City

Orlando
Tampa

State

FL
FL

Postal Code

32891-0001
33612-6601

Country

US
US

Telephone Number

N/A
(813) 974-2201

Identifiers

Identifier

022650100
IFANC

Identifier State

FL
FL

Identifier Issuer

Unknown
BLUE CROSS BLUE SHIELD

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

jcardetguisasola135437@direct.tgh.org

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

13330 Usf Laurel DrTampa, FL336126601US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/30/2021

Provider Address

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