Provider Demographics
NPI:1043722812
Name:OJEDA, CARLOS (MPH, ALT MEDICINE)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:
Last Name:OJEDA
Suffix:
Gender:M
Credentials:MPH, ALT MEDICINE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 784745
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34778-4745
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:213 S DILLARD ST STE 150C
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-3596
Practice Address - Country:US
Practice Address - Phone:407-454-4808
Practice Address - Fax:407-554-2044
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-01
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL174H00000X, 175L00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty
No175L00000XOther Service ProvidersHomeopathGroup - Single Specialty