Provider Demographics
NPI:1114461308
Name:THE GUERRETTE INSTITUTE, LLC
Entity Type:Organization
Organization Name:THE GUERRETTE INSTITUTE, LLC
Other - Org Name:THE GUERRETTE INSTITUTE, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MONTE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GUERRETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-266-8791
Mailing Address - Street 1:5305 SE 34TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34480-1482
Mailing Address - Country:US
Mailing Address - Phone:352-266-8791
Mailing Address - Fax:
Practice Address - Street 1:5305 SE 34TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34480-1482
Practice Address - Country:US
Practice Address - Phone:352-266-8791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-07
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1962859876OtherNPI NUMBERT