Provider Demographics
NPI:1750983631
Name:GUYER WELLNESS GROUP
Entity type:Organization
Organization Name:GUYER WELLNESS GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-387-2980
Mailing Address - Street 1:2194 HIGHWAY A1A STE 104
Mailing Address - Street 2:
Mailing Address - City:INDIAN HARBOUR BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32937-4955
Mailing Address - Country:US
Mailing Address - Phone:321-327-2980
Mailing Address - Fax:
Practice Address - Street 1:2194 HIGHWAY A1A STE 104
Practice Address - Street 2:
Practice Address - City:INDIAN HARBOUR BEACH
Practice Address - State:FL
Practice Address - Zip Code:32937-4955
Practice Address - Country:US
Practice Address - Phone:321-327-2980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-15
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty