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NPI Code Detail

MEDICARE: DR. BENY LESTER GUEDES MD

MEDICARE: DR. BENY LESTER GUEDES MD
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
12080P0203XPediatric Critical Care Medicine PhysicianME15959FL
2208000000XPediatrics PhysicianME15959FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598768673
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BENY LESTER GUEDES MD
Provider Business Mailing Address
First Line : 1801 LEE RD STE 165
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-2127
Country : US
Telephone Number : 407-975-0410
Fax Number : 407-975-0411
Provider Business Practice Location Address
First Line : 601 E ROLLINS ST
Second Line : FLORIDA HOSPITAL PEDIATRIC INTENSIVISTS
City : ORLANDO
State : FL
Zip : 32803-1248
Country : US
Telephone Number : 407-975-0410
Fax Number : 407-975-0411
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 04/19/2016

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Directions to “ DR. BENY LESTER GUEDES MD” Practice Location

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