MEDICARE: DR. RALPH GUARNERI M.D.

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	208600000X	Surgery Physician	ME60839	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	12937	OTHER	FL	BLUE CROSS BLUE SHIELD
2	99250	OTHER	FL	VYTRA HEALTHCARE
3	2202500	OTHER	FL	AETNA
4	650747893	OTHER	FL	HUMANA
5	650747893	OTHER	FL	TRICARE
6	24727	OTHER	FL	HEALTHEASE
7	612221200	OTHER	FL	FLORIDA DEPT OF LABOR
8	650747893 0003	OTHER	FL	CIGNA
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	100820	OTHER	FL	AVMED
11	24020A	OTHER	FL	CAREPLUS
12	24727	OTHER	FL	WELLCARE
13	24727	OTHER	FL	STAYWELL
14	650747893	OTHER	FL	VISTA

General Provider Information

NPI Number	:	1699773341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RALPH GUARNERI M.D.

Provider Business Mailing Address
First Line	:	1508 SE 3RD AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-2502
Country	:	US
Telephone Number	:	954-462-8714
Fax Number	:	954-462-8722

Provider Business Practice Location Address
First Line	:	1508 SE 3RD AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-2502
Country	:	US
Telephone Number	:	954-462-8714
Fax Number	:	954-462-8722

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	07/13/2010

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