Healthcare Provider Details

I. General information

NPI: 1487895298
Provider Name (Legal Business Name): GUIDO CHIARELLO CPR/FIRST AIDE/ETC.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2009
Last Update Date: 03/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

367 HAMPSHIRE AVE
SPRING HILL FL
34606-5451
US

IV. Provider business mailing address

367 HAMPSHIRE AVE
SPRING HILL FL
34606-5451
US

V. Phone/Fax

Practice location:
  • Phone: 352-688-1799
  • Fax:
Mailing address:
  • Phone: 352-688-1799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: