Provider Demographics
NPI:1366990160
Name:GUEVARA, MARIA CLAUDIA (PTA)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:CLAUDIA
Last Name:GUEVARA
Suffix:
Gender:F
Credentials:PTA
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2230 SW 19TH AVENUE RD
Mailing Address - Street 2:OCALA FAMILY MEDICAL CENTER INC
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-1391
Mailing Address - Country:US
Mailing Address - Phone:352-237-4133
Mailing Address - Fax:352-237-7728
Practice Address - Street 1:2131 SW 20TH PLACE
Practice Address - Street 2:OFMC WELLNESS CENTER
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471
Practice Address - Country:US
Practice Address - Phone:352-237-4133
Practice Address - Fax:352-237-7728
Is Sole Proprietor?:No
Enumeration Date:2016-09-21
Last Update Date:2016-09-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant