Provider Demographics
NPI:1952559643
Name:GUIRGUIS, EID LABIB KAMEL (MD)
Entity Type:Individual
Prefix:DR
First Name:EID
Middle Name:LABIB KAMEL
Last Name:GUIRGUIS
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 1:11026 SPRING HILL DRIVE
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34608
Mailing Address - Country:US
Mailing Address - Phone:352-835-7111
Mailing Address - Fax:
Practice Address - Street 1:10580 SPRING HILL DR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34608-5046
Practice Address - Country:US
Practice Address - Phone:352-835-7111
Practice Address - Fax:352-835-7110
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-05
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME105372208000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001565700Medicaid