Provider Demographics
NPI:1508127507
Name:JAMES H GUILDFORD M.D. P.A.
Entity Type:Organization
Organization Name:JAMES H GUILDFORD M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:H
Authorized Official - Last Name:GUILDFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-833-1811
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME50354207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL057584400Medicaid
FL05786OtherMEDICARE PTAN
FLC70101Medicare UPIN