MEDICARE: LANIE GUINN DPT

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	174400000X	Specialist	29861	FL

General Provider Information

NPI Number	:	1558735076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LANIE GUINN DPT

Provider Business Mailing Address
First Line	:	7358 SW 107TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-2715
Country	:	US
Telephone Number	:	786-534-9846
Fax Number	:

Provider Business Practice Location Address
First Line	:	7358 SW 107TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-2715
Country	:	US
Telephone Number	:	786-534-9846
Fax Number	:

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

Provider Enumeration Date	:	11/20/2015
Last Update Date	:	11/20/2015

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Directions to “ LANIE GUINN DPT” Practice Location

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