Individual
JACK GUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
160 NW 170TH ST, NORTH MIAMI BEACH, FL 33169-5576
(305) 651-1100
Mailing address
1000 W. CARSON ST. BOX 461, HARBOR-UCLA MEDICAL CENTER, TORRANCE, CA 90509
(310) 222-2700
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS17043
FL
Other
Enumeration date
05/04/2016
Last updated
06/21/2021
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