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NPI Code Detail

MEDICARE: DAWEI GUAN

MEDICARE: DAWEI GUAN
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1740030691
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWEI GUAN
Provider Business Mailing Address
First Line : 7879 SW 88TH ST
Second Line :
City : GAINESVILLE
State : FL
Zip : 32608-9801
Country : US
Telephone Number : 352-328-9418
Fax Number :
Provider Business Practice Location Address
First Line : 1600 SW ARCHER RD
Second Line :
City : GAINESVILLE
State : FL
Zip : 32610-3003
Country : US
Telephone Number : 352-273-9914
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2024
Last Update Date : 03/25/2024

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Directions to “ DAWEI GUAN ” Practice Location

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