Provider Demographics
NPI:1598093817
Name:CARLOS M GUIDA M D P A
Entity Type:Organization
Organization Name:CARLOS M GUIDA M D P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:M
Authorized Official - Last Name:GUIDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-643-6500
Mailing Address - Street 1:PO BOX 650220
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33265-0220
Mailing Address - Country:US
Mailing Address - Phone:305-643-6500
Mailing Address - Fax:305-642-4995
Practice Address - Street 1:351 NW 42ND AVE
Practice Address - Street 2:SUITE 409
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-5683
Practice Address - Country:US
Practice Address - Phone:305-643-6500
Practice Address - Fax:305-642-4995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty