Provider Demographics
NPI:1386639250
Name:GUY, CHRISTOPHER R (MD)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:R
Last Name:GUY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1130 NW 64TH TER
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-4219
Mailing Address - Country:US
Mailing Address - Phone:352-333-5242
Mailing Address - Fax:352-333-6223
Practice Address - Street 1:1130 NW 64TH TER
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-4219
Practice Address - Country:US
Practice Address - Phone:352-333-5242
Practice Address - Fax:352-333-6223
Is Sole Proprietor?:No
Enumeration Date:2005-09-15
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME81568207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL264345600Medicaid
FLH63792Medicare UPIN
FL13048ZMedicare ID - Type Unspecified