Basic Information
| Provider Information | |||||||||
| NPI: | 1164614186 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ARGUEDAS | ||||||||
| FirstName: | MARCELA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 25 N LANIER AVE | ||||||||
| Address2: | |||||||||
| City: | FORT MEADE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 338412918 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8632857171 | ||||||||
| FaxNumber: | 8632856701 | ||||||||
| Practice Location | |||||||||
| Address1: | 25 N LANIER AVE | ||||||||
| Address2: | |||||||||
| City: | FORT MEADE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 338412918 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8632857171 | ||||||||
| FaxNumber: | 8632856701 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/14/2007 | ||||||||
| LastUpdateDate: | 07/08/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | ME106627 | FL | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.