Provider Demographics
NPI:1619993847
Name:GUARINO, ANTHONY H (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:H
Last Name:GUARINO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2485 S ATLANTIC AVE # 401
Mailing Address - Street 2:
Mailing Address - City:COCOA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32931-2285
Mailing Address - Country:US
Mailing Address - Phone:314-996-8631
Mailing Address - Fax:
Practice Address - Street 1:450 E MERRITT ISLAND CSWY # 200
Practice Address - Street 2:
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32952-3503
Practice Address - Country:US
Practice Address - Phone:312-735-6220
Practice Address - Fax:314-362-9471
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME139283207LP2900X, 207L00000X
MO114360207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL203796206Medicaid
ILENROLLEDMedicaid
MO101740037Medicare PIN
MO050057835Medicare PIN