Individual
GUY GUIMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4647 MANATEE AVE W, BRADENTON, FL 34209
(941) 745-5999
(941) 745-3555
Mailing address
367 S. GULPH RD, ATTN: IPM CREDENTIALING, KING OF PRUSSIA, PA 19406-3121
(941) 745-5999
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9110958
FL
363AM0700X
Medical Physician Assistant
50.003899
OH
363AM0700X
Medical Physician Assistant
MA056118
PA
Other
Enumeration date
05/14/2013
Last updated
04/28/2023
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