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NPI Code Detail

MEDICARE: ROBERT C GUAGENTI DO

MEDICARE: ROBERT C GUAGENTI DO
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
1207RG0100XGastroenterology PhysicianOS6728FL

Other Identifiers

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

General Provider Information

NPI Number : 1427040310
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT C GUAGENTI DO
Provider Business Mailing Address
First Line : 12255 LONGVIEW LAKE CIR
Second Line :
City : BRADENTON
State : FL
Zip : 34211-4972
Country : US
Telephone Number : 941-907-2696
Fax Number : 941-907-2696
Provider Business Practice Location Address
First Line : 10000 BAY PINES BLVD
Second Line : BLDG 100- 4C-GASTROENTEROLOGY
City : BAY PINES
State : FL
Zip : 33744-8200
Country : US
Telephone Number : 727-398-6661
Fax Number : 727-398-9579
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2005
Last Update Date : 06/23/2015

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Directions to “ ROBERT C GUAGENTI DO” Practice Location

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