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Individual

DR. MICHAEL SCOTT GURIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 842-8475
(407) 849-6470
Mailing address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 842-8475
(407) 849-6470

Taxonomy

Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
ME109034
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME109034
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003818600
FL
01
14F4B
BCBS
FL
01
FB367Y
MEDICARE PTAN OHRI
FL
01
PR894
MEDICARE PTAN OHMG
FL
Enumeration date
10/10/2008
Last updated
03/27/2023
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