Provider Demographics
NPI:1992827091
Name:MOREL, GUILLERMO F (MD)
Entity Type:Individual
Prefix:
First Name:GUILLERMO
Middle Name:F
Last Name:MOREL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1515 US HIGHWAY 1
Mailing Address - Street 2:SUITE 204
Mailing Address - City:SEBASTIAN
Mailing Address - State:FL
Mailing Address - Zip Code:32958-1612
Mailing Address - Country:US
Mailing Address - Phone:772-589-0300
Mailing Address - Fax:772-589-4550
Practice Address - Street 1:1515 US HIGHWAY 1
Practice Address - Street 2:SUITE 204
Practice Address - City:SEBASTIAN
Practice Address - State:FL
Practice Address - Zip Code:32958-1612
Practice Address - Country:US
Practice Address - Phone:772-589-0300
Practice Address - Fax:772-589-4550
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME91772207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLA1338ZMedicare PIN