Individual
DR. JEROME GUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
709 S HARBOR CITY BLVD, SUITE 100, MELBOURNE, FL 32901-1938
(321) 725-2225
(321) 308-0635
Mailing address
220 N. SYKES CREEK PKWY, SUITE 200, MERRITT ISLAND, FL 32955
(321) 459-1446
(321) 452-1261
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME46149
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042035200
—
FL
01
—
05564
FLORIDA BLUE (BCBS)
FL
01
—
0623402
AETNA
FL
01
—
24981416
CIGNA
FL
Enumeration date
01/19/2006
Last updated
11/06/2014
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