Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | ME14463 | FL |
Y | 208600000X | Surgeon | ME14463 | FL |
N | 2082S0105X | Plastic Hand Surgeon | ME14463 | FL |
NPI | 1548425937 |
---|---|
Provider Name | Dr. Cilio Nelson Guerriere |
First Address | Tampa, FL 33618-2075 |
Second Address | Tampa, FL 33618-2075 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2008 |
Last Update Date | 09/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
007138800 | (05) | FL |
D26840 | (02) | FL |