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NPI Code Detail

MEDICARE: DR. JEFFREY SCOTT GUDES D.O.

MEDICARE: DR. JEFFREY SCOTT GUDES D.O.
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
1207P00000XEmergency Medicine PhysicianOS18480FL

General Provider Information

NPI Number : 1508272220
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY SCOTT GUDES D.O.
Provider Business Mailing Address
First Line : 7295 DANBURY DR
Second Line :
City : WEST BLOOMFIELD
State : MI
Zip : 48322-3581
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 350 7TH ST N
Second Line :
City : NAPLES
State : FL
Zip : 34102-5754
Country : US
Telephone Number : 239-624-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2014
Last Update Date : 05/07/2026

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