Individual
ANDREW MARTIN GUIDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
19 BALD EAGLE DR STE B, MARCO ISLAND, FL 34145-3580
(239) 394-4111
Mailing address
19 BALD EAGLE DR STE B, MARCO ISLAND, FL 34145-3580
(239) 394-4111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS0007068
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57243
BLUE CROSS BLUE SHEILD OF FLORIDA
FL
01
—
57243A
MEDICARE
—
01
—
990003533
MEDICARE RAILROAD
FL
Enumeration date
07/17/2006
Last updated
09/16/2015
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