Provider Demographics
NPI:1639336266
Name:GUARNIERI, JOSEPH J (DC)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:J
Last Name:GUARNIERI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14590 S MILITARY TRL # E 6
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-3757
Mailing Address - Country:US
Mailing Address - Phone:561-865-8390
Mailing Address - Fax:561-865-1730
Practice Address - Street 1:14590 S MILITARY TRL STE E6
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-3701
Practice Address - Country:US
Practice Address - Phone:561-865-8390
Practice Address - Fax:561-865-1730
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6061111N00000X
CT001075111N00000X
NYX0057711111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor