Provider Demographics
NPI:1134314560
Name:LADRON DE GUEVARA, MARIA E (AP, LMT)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:E
Last Name:LADRON DE GUEVARA
Suffix:
Gender:F
Credentials:AP, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13300 INDIAN ROCKS RD APT 804
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33774-2011
Mailing Address - Country:US
Mailing Address - Phone:727-586-4808
Mailing Address - Fax:
Practice Address - Street 1:940 CLEARWATER-LARGO RD
Practice Address - Street 2:ST 106
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770
Practice Address - Country:US
Practice Address - Phone:727-586-4808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1920171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist