MEDICARE: ON-SITE MEDICAL SOLUTIONS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261Q00000X	Clinic/Center
2	261QX0100X	Occupational Medicine Clinic/Center
3	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1164997680
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ON-SITE MEDICAL SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	37534 HIGHWAY 30 STE A
Second Line	:
City	:	GONZALES
State	:	LA
Zip	:	70737-8098
Country	:	US
Telephone Number	:	225-644-6767
Fax Number	:	225-644-6769

Provider Business Practice Location Address
First Line	:	37534 HIGHWAY 30 STE A
Second Line	:
City	:	GONZALES
State	:	LA
Zip	:	70737-8098
Country	:	US
Telephone Number	:	225-217-4344
Fax Number	:	225-224-3523

Authorized Official
Title or Position	:	COO
Name	:	MR. FRANK FLOYD GUARISCO JR.
Credential	:	APRN, NP-C
Telephone Number	:	225-644-6767

Provider Enumeration Date	:	10/11/2018
Last Update Date	:	10/04/2019

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Directions to “ON-SITE MEDICAL SOLUTIONS, LLC ” Practice Location

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