Individual
DR. JADE GIESEKE GUEVARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 N FLAMINGO RD STE 215, PEMBROKE PINES, FL 33028-1015
(954) 452-9922
(352) 265-1107
Mailing address
2046 E SAMPLE RD, LIGHTHOUSE POINT, FL 33064-7596
(954) 994-2020
(994) 994-0017
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME136354
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025124300
—
FL
Enumeration date
04/10/2014
Last updated
08/14/2024
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