Guzman, Jerome
Guzman, Jerome is an sole proprietor health care provider with primary practice located at 709 S Harbor City Blvd Suite 100, Melbourne FL 32901-1938. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Guzman, Jerome can be contacted via phone (321) 725-2225.Contact Information
Primary practice address
709 S Harbor City Blvd Suite 100
Melbourne FL 32901-1938
Phone: (321) 725-2225
Fax: (321) 308-0635
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME46149 | Florida |
Profile Details
| NPI number | 1093795692 |
|---|---|
| LBN Legal business name | Guzman, Jerome |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Nov 6th, 2014 - about 11 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 | 1093795692 | NPPES |
| Florida | Other | 24981416 | CIGNA |
| Florida | Other | 05564 | CIGNA |
| Florida | MEDICAID | 042035200 | CIGNA |
| Florida | Other | 0623402 | CIGNA |
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