Individual
GUILLERMO BOHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4061 BONITA BEACH RD STE 101, BONITA SPRINGS, FL 34134-4073
(239) 301-0105
(239) 301-0110
Mailing address
PO BOX 62707, FORT MYERS, FL 33906-2707
(239) 931-3440
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME65227
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23687A
BC BS
FL
05
—
374091900
—
FL
Enumeration date
07/11/2005
Last updated
01/10/2020
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