Individual
MR. BLAKE GUILLORY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4300 ALTON RD, MIAMI BEACH, FL 33140-2948
(305) 676-6414
Mailing address
5817 SENEGAL CT, JUPITER, FL 33458-3472
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
UO5773
FL
390200000X
Student in an Organized Health Care Education/Training Program
UO5773
FL
Other
Enumeration date
07/07/2017
Last updated
07/07/2017
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