Provider Demographics
NPI:1336648104
Name:GUARE, CRISTIAN FIDEL (ARNP)
Entity Type:Individual
Prefix:
First Name:CRISTIAN
Middle Name:FIDEL
Last Name:GUARE
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:261 DOE RUN DR
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-6508
Mailing Address - Country:US
Mailing Address - Phone:407-614-4866
Mailing Address - Fax:833-578-1818
Practice Address - Street 1:736 S DILLARD ST STE 2
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-3908
Practice Address - Country:US
Practice Address - Phone:407-614-4866
Practice Address - Fax:833-578-1818
Is Sole Proprietor?:No
Enumeration Date:2018-02-07
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9286129363L00000X
FLAPRN9286129363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner