Provider Demographics
NPI:1134359441
Name:GUYON PODIATRY PL
Entity type:Organization
Organization Name:GUYON PODIATRY PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:MARTHA
Authorized Official - Last Name:ROSAS-GUYON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:305-854-2222
Mailing Address - Street 1:1330 CORAL WAY
Mailing Address - Street 2:SUITE 308
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-2929
Mailing Address - Country:US
Mailing Address - Phone:305-854-2222
Mailing Address - Fax:
Practice Address - Street 1:1330 CORAL WAY
Practice Address - Street 2:SUITE 308
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2929
Practice Address - Country:US
Practice Address - Phone:305-854-2222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-21
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2583213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty