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NPI Code Detail

MEDICARE: JEAN WILLEM GUERRIER JR. FNP

MEDICARE: JEAN WILLEM GUERRIER JR. FNP
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
1363LF0000XFamily Nurse Practitioner3307632FL

General Provider Information

NPI Number : 1801239637
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEAN WILLEM GUERRIER JR. FNP
Provider Business Mailing Address
First Line : 4610 S UNIVERSITY DR
Second Line :
City : DAVIE
State : FL
Zip : 33328-3818
Country : US
Telephone Number : 305-562-3115
Fax Number :
Provider Business Practice Location Address
First Line : 1501 S FEDERAL HWY
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33062-7512
Country : US
Telephone Number : 305-562-3115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2013
Last Update Date : 03/09/2025

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