Individual provider · NPI-1

Juan Carlos Cardet Guisasaola, MD

Allergy & Immunology · Tampa, FL

NPI number1003071713
StatusActive
Last updated in NPPESMar 30, 2021

Details

NPI
1003071713
Entity type
Individual (NPI-1)
Name
Juan Carlos Cardet Guisasaola
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 22, 2008
Certification date
Mar 30, 2021
Last updated
Mar 30, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207K00000X Allergy & ImmunologyME133105FLYes
207K00000X Allergy & Immunology247405MA
207R00000X Internal Medicine12022RPR

Practice location

13330 Usf Laurel Dr
Tampa, FL 33612-6601

Phone 813-974-2201

Mailing address

Po Box 917770
Orlando, FL 32891-0001

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Allergy & Immunology providers in Tampa, FL