Gaudino, Jon Paul

Gaudino, Jon Paul is an individual health care provider with primary practice located at 3030 W Bearss Ave , Tampa FL 33618. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Gaudino, Jon Paul can be contacted via phone (419) 531-2127.

Contact Information

Primary practice address
3030 W Bearss Ave Tampa FL 33618
Phone: (419) 531-2127
Fax: (419) 531-2664
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME68779 Florida
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME68779 Florida

Profile Details

NPI number 1639288137
LBN Legal business name Gaudino, Jon Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Mar 10th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639288137 NPPES
Florida Other 250010137 RR MEDICARE
Florida Other 250011108 RR MEDICARE
Florida MEDICAID 253156900 RR MEDICARE
Florida Other 27430 RR MEDICARE
Florida Other 250010136 RR MEDICARE

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