Provider Demographics
NPI:1003875261
Name:GUERRIER, GEORGES C (MD)
Entity Type:Individual
Prefix:
First Name:GEORGES
Middle Name:C
Last Name:GUERRIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 SW BETHANY DR
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986-2136
Mailing Address - Country:US
Mailing Address - Phone:772-344-1775
Mailing Address - Fax:561-844-1013
Practice Address - Street 1:437 SW BETHANY DR
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34986-2136
Practice Address - Country:US
Practice Address - Phone:772-344-1775
Practice Address - Fax:772-344-1786
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME67142208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL379850000Medicaid
FL31627OtherBCBS PROVIDER #
FL379850000Medicaid
FL31627Medicare PIN