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Dr. Tamara Ivelisse Guzman Rodriguez, MD
General Practice Physician in Davenport, Florida
NPI 1063443612

Tamara Ivelisse Guzman Rodriguez is a General Practice Physician based in Winter Haven, FL. Tamara Ivelisse Guzman Rodriguez practices in Davenport, FL and has the professional credentials of MD. The NPI Number for Tamara Ivelisse Guzman Rodriguez is 1063443612 and holds a License No. 15632 (Florida).

The current practice location address for Tamara Ivelisse Guzman Rodriguez is 130 Ridge Center Dr, Davenport, FL and can be reached out via phone at 866-234-8534.

Location: 130 Ridge Center Dr, Davenport, FL, 33881-4672
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063443612
Provider Name
Tamara Ivelisse Guzman Rodriguez
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
130 Ridge Center Dr, Davenport, FL, 33881-4672
Phone Number
866-234-8534
Fax Number
Provider Enumeration Date
07/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1063443612 05 FL
ACN 448 01 FL LICENSE
institution
Provider Business Practice Location Address Details
Address
130 Ridge Center Dr
City
Davenport
State
Florida
Zip
33837-6413
Phone Number
866-234-8534
Fax Number
person
Provider Business Mailing Address Details
Address
130 Ridge Center Dr
City
Davenport
State
Florida
Zip
33837-6413
Phone Number
866-234-8534
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
15632 ()
Definition
Definition to come...
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