Provider Demographics
NPI:1417989328
Name:GUARINO, JOHN F (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:F
Last Name:GUARINO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4245 KINGS HWY
Mailing Address - Street 2:UNIT A
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33980
Mailing Address - Country:US
Mailing Address - Phone:941-391-5102
Mailing Address - Fax:941-391-6937
Practice Address - Street 1:4245 KINGS HIGHWAY
Practice Address - Street 2:UNIT A
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33980
Practice Address - Country:US
Practice Address - Phone:941-391-5102
Practice Address - Fax:941-391-6937
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2017-02-14
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Provider Licenses
StateLicense IDTaxonomies
FLME 0068371208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL271845600Medicaid
FL271845600Medicaid
FLG 08782Medicare UPIN