Healthcare Provider Details

I. General information

NPI: 1205809670
Provider Name (Legal Business Name): CARLOS M GUIDA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: CARLOS M GUIDA MD PA

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 10/22/2024
Certification Date: 10/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 NW 42ND AVE STE 406
MIAMI FL
33126-5689
US

IV. Provider business mailing address

351 NW 42 AVE SUITE 409
MIAMI FL
38126
US

V. Phone/Fax

Practice location:
  • Phone: 305-643-6500
  • Fax: 305-642-4995
Mailing address:
  • Phone: 305-643-6500
  • Fax: 305-642-4995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberME56236
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: