Individual
DR. STEPHEN V GUIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4800 NE 20TH TER STE 209, FT LAUDERDALE, FL 33308-4510
(954) 776-1612
(954) 776-1699
Mailing address
4800 NE 20TH TER STE 209, FT LAUDERDALE, FL 33308-4510
(954) 776-1612
(954) 776-1699
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2047
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0811110001
DMERC
FL
01
—
332541
HUMANA
—
05
—
390124600
—
FL
01
—
6200453
GHI
FL
01
—
650638546
TAX ID
FL
01
—
668778920
AETNA
—
Enumeration date
07/20/2005
Last updated
11/08/2023
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