Organization
DR CARLOS GUERRA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS O GUERRA M.D. (OWNER)
(954) 232-9539
Entity
Organization
Contact information
Practice address
5601 N DIXIE HWY, #107, OAKLAND PARK, FL 33334-4148
(954) 493-9752
(954) 493-9472
Mailing address
5601 N DIXIE HWY, #107, OAKLAND PARK, FL 33334-4148
(954) 493-9752
(954) 493-9472
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME 103544
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992902753
INDIVIDUAL NPI
FL
01
—
ME 103544
LICENSURE
FL
Enumeration date
01/18/2011
Last updated
12/22/2011
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