Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | ME79764 | FL |
NPI | 1053336933 |
---|---|
Provider Name | Dr. Bernard H. Guiot |
First Address | St Augustine, FL 32085-3123 |
Second Address | Jacksonville, FL 32258-2558 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 04/05/2021 |