Provider Demographics
NPI:1417967258
Name:GUILDFORD, JAMES HARRY (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:HARRY
Last Name:GUILDFORD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1500 N DIXIE HWY
Mailing Address - Street 2:SUITE 209
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-2712
Mailing Address - Country:US
Mailing Address - Phone:561-833-1810
Mailing Address - Fax:561-833-1909
Practice Address - Street 1:1500 N DIXIE HWY
Practice Address - Street 2:SUITE 209
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-2712
Practice Address - Country:US
Practice Address - Phone:561-833-1810
Practice Address - Fax:561-833-1909
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2017-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME50354207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL057584400Medicaid
FLC70101Medicare UPIN
FL057584400Medicaid