Individual
JACQUES F GUILLAUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9333 SW 152ND ST, PALMETTO BAY, FL 33157-1778
(305) 256-5267
Mailing address
9333 SW 152ND ST, PALMETTO BAY, FL 33157-1778
(305) 256-5267
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9169970
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G3843
BLUE CROSS
FL
Enumeration date
05/31/2006
Last updated
08/27/2015
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