MEDICARE: DR. MARC A GUERRIER M.D.

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
1	207R00000X	Internal Medicine Physician	ME100706	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1124007364	OTHER		NPI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124007364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARC A GUERRIER M.D.

Provider Business Mailing Address
First Line	:	601 S HARBOUR ISLAND BLVD STE 200
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-5925
Country	:	US
Telephone Number	:	863-215-6639
Fax Number	:	844-388-6186

Provider Business Practice Location Address
First Line	:	1417 LAKELAND HILLS BLVD STE 101
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33805-3200
Country	:	US
Telephone Number	:	863-687-4575
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2006
Last Update Date	:	08/04/2022

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