Individual
DR. MICHAEL PAUL GUARISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 GAUSE BLVD STE C4, SLIDELL, LA 70458-3041
(985) 288-6419
(877) 889-8818
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(844) 630-0700
(877) 374-1924
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
017682
LA
207R00000X
Internal Medicine Physician
Primary
017682
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38199
—
LA
Enumeration date
12/22/2006
Last updated
04/02/2025
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