Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DN 5387 | FL |
Y | 213EG0000X | General Practice | DN 5387 | FL |
NPI | 1003014333 |
---|---|
Provider Name | Dr. Alan Martin Guy |
First Address | Orlando, FL 32837-6192 |
Second Address | Orlando, FL 32837-6192 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2007 |
Last Update Date | 09/07/2007 |