Organization
EMMANUEL MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIAN N GUERRERO M.D. (MEDICAL DOCTOR)
(954) 424-1873
Entity
Organization
Contact information
Practice address
10613 HAMMOCKS BLVD., #212, MIAMI, FL 33196
(954) 424-1873
(954) 200-7814
Mailing address
10613 HAMMOCKS BLVD., #212, MIAMI, FL 33196
(954) 424-1873
(954) 200-7814
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN223
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278912400
—
FL
01
—
AE622Y
MEDICARE
FL
Enumeration date
12/07/2011
Last updated
12/07/2011
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