Organization
ORLY GUERON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORLY GUERON (DIRECTOR)
(305) 924-6555
Entity
Organization
Contact information
Practice address
2875 NE 191ST ST, SUITE 538, AVENTURA, FL 33180-2801
(305) 924-6555
(305) 924-6555
Mailing address
2875 NE 191ST ST, SUITE 538, AVENTURA, FL 33180-2801
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
MT 2306
FL
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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