Healthcare Provider Details

I. General information

NPI: 1306377460
Provider Name (Legal Business Name): DANIELLE GUINAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2017
Last Update Date: 09/21/2022
Certification Date: 09/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 JUPITER LAKES BLVD STE 302B
JUPITER FL
33458-7100
US

IV. Provider business mailing address

8451 SE DRIFTWOOD ST
HOBE SOUND FL
33455-2918
US

V. Phone/Fax

Practice location:
  • Phone: 772-202-6878
  • Fax: 334-232-2473
Mailing address:
  • Phone: 772-828-0065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberME156001
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME156001
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: