Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | FL | |
N | 175L00000X | Homeopath | FL |
NPI | 1043722812 |
---|---|
Provider Name | Dr. Carlos Ojeda |
First Address | Winter Garden, FL 34778-4745 |
Second Address | Winter Garden, FL 34787-3596 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2017 |
Last Update Date | 19/09/2021 |