Individual
TROY H GUTHRIE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 N LEE ST STE 204, JACKSONVILLE, FL 32204
(904) 427-1200
Mailing address
2160 COLONIAL BLVD, FORT MYERS, FL 33907-1410
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
ME66255
FL
207RX0202X
Medical Oncology Physician
Primary
ME66255
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000643574D
—
GA
05
—
0533629-00
—
FL
01
—
1100398
CAREPLUS
FL
01
—
1193085
WELLCARE
FL
01
—
12687
BCBS
FL
01
—
1614130
CIGNA
FL
01
—
208075
AVMED
FL
01
—
4402739
AETNA
FL
01
—
P01405056
RR MEDICARE
FL
01
—
P01756757
RR MEDICARE
FL
Enumeration date
10/03/2005
Last updated
06/28/2018
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