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Dr. Roberto Gauddah Menguito, MD
Specialist in Orange City, Florida
NPI 1619167038

Roberto Gauddah Menguito is a Specialist based in Bridgeport, FL. Roberto Gauddah Menguito practices in Orange City, FL and has the professional credentials of MD. The NPI Number for Roberto Gauddah Menguito is 1619167038 and holds a License No. AS22959041564 (Florida).

The current practice location address for Roberto Gauddah Menguito is 947 Town Center Dr, Orange City, FL and can be reached out via phone at 386-366-5530 and via fax at 855-936-1288.

Location: 947 Town Center Dr, Orange City, FL, 26330-1175
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619167038
Provider Name
Roberto Gauddah Menguito
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
947 Town Center Dr, Orange City, FL, 26330-1175
Phone Number
386-366-5530
Fax Number
855-936-1288
Provider Enumeration Date
08/01/2007
Last Update Date
01/18/2025
institution
Provider Business Practice Location Address Details
Address
947 Town Center Dr
City
Orange City
State
Florida
Zip
32763-8361
Phone Number
386-366-5530
Fax Number
855-936-1288
person
Provider Business Mailing Address Details
Address
947 Town Center Dr
City
Orange City
State
Florida
Zip
32763-8361
Phone Number
386-366-5530
Fax Number
855-936-1288
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
AS22959041564 (West Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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