Individual
SAMIR C GURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1945 BAY RD, MOUNT DORA, FL 32757-2105
(352) 483-5633
(352) 483-5070
Mailing address
1945 BAY RD, MOUNT DORA, FL 32757-2105
(352) 483-5633
(352) 483-5070
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS9328
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16714
BLUE CROSS BLUE SHIELD FL
FL
01
—
DD9204
RAILROAD MEDICARE GROUP
FL
01
—
P00260225
RAILROAD MEDICARE GURU
FL
Enumeration date
09/23/2005
Last updated
05/04/2017
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