MEDICARE: DR. BERNARD H. GUIOT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	ME79764	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053336933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BERNARD H. GUIOT M.D.

Provider Business Mailing Address
First Line	:	PO BOX 3123
Second Line	:
City	:	ST AUGUSTINE
State	:	FL
Zip	:	32085-3123
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14810 OLD SAINT AUGUSTINE RD STE 207
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32258-2558
Country	:	US
Telephone Number	:	904-217-7450
Fax Number	:	904-217-7483

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	05/16/2024

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Directions to “ DR. BERNARD H. GUIOT M.D.” Practice Location

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