Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | ME0036413 | FL |
NPI | 1184693467 |
---|---|
Provider Name | John D Guarneri |
First Address | Winter Park, FL 32792-4103 |
Second Address | Winter Park, FL 32792-4103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D55023 | (02) | FL |