Guarderas, Juan C

Guarderas, Juan C is an individual health care provider with primary practice located at 3334 Greystone Way , Valdosta GA 31605-1096. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Guarderas, Juan C can be contacted via phone (229) 247-1667.

Contact Information

Primary practice address
3334 Greystone Way Valdosta GA 31605-1096
Phone: (229) 247-1667
Fax: (229) 245-7661
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 80320 Georgia
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 80320 Georgia
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X ME62732 Florida

Profile Details

NPI number 1902893290
LBN Legal business name Guarderas, Juan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2005
Last updated Aug 11th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902893290 NPPES
Florida MEDICAID 261325500
Florida MEDICAID 000892966A
Florida Other 18056
Florida Other 030002009

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