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Individual

GUEDRY EDOUARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
15407 IBIS FALL PL, SUN CITY CENTER, FL 33573-6782
(239) 692-1157
Mailing address
15407 IBIS FALL PL, SUN CITY CENTER, FL 33573-6782
(239) 692-1157

Taxonomy

Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
ARNP11031228
FL
363LF0000X
Family Nurse Practitioner
11031228
FL

Other

Enumeration date
02/13/2024
Last updated
04/15/2024
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