Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208800000X | Urologist | MD.33650 | AL |
Y | 208800000X | Urologist | ME153611 | FL |
NPI | 1063855138 |
---|---|
Provider Name | Patrick Guthrie |
First Address | Zephyrhills, FL 33541-1347 |
Second Address | Zephyrhills, FL 33541-1347 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2013 |
Last Update Date | 06/01/2022 |