MEDICARE: DR. SERGIO M GUERREIRO

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	231H00000X	Audiologist	AY1086	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4899807	OTHER	FL	GHI
2	40007057	OTHER	FL	PEDIATRIC ASSOCIATES
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255371761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SERGIO M GUERREIRO

Provider Business Mailing Address
First Line	:	8100 SW 10TH ST BLDG 3
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-3279
Country	:	US
Telephone Number	:	954-210-1031
Fax Number	:

Provider Business Practice Location Address
First Line	:	8100 SW 10TH ST BLDG 3
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-3279
Country	:	US
Telephone Number	:	954-210-1031
Fax Number	:

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

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	07/12/2023

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Directions to “ DR. SERGIO M GUERREIRO ” Practice Location

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