Guillen, Mario F
Guillen, Mario F is an sole proprietor health care provider with primary practice located at 10115 Forest Hill Blvd Suite 104, Wellington FL 33414-3105. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Guillen, Mario F can be contacted via phone (561) 793-1117.Contact Information
Primary practice address
10115 Forest Hill Blvd Suite 104
Wellington FL 33414-3105
Phone: (561) 793-1117
Fax: (561) 793-1762
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME84093 | Florida |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | ME 84093 | Florida |
Profile Details
| NPI number | 1952345324 |
|---|---|
| LBN Legal business name | Guillen, Mario F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Sep 15th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952345324 | NPPES |
| Florida | MEDICAID | 266849100 |
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