MEDICARE: GUERLYNE DESIR FNP-BC

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	207Q00000X	Family Medicine Physician	APRN9299155	FL
2	363L00000X	Nurse Practitioner	F1015080	FL
3	363LF0000X	Family Nurse Practitioner	APRN9299155	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1710359294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GUERLYNE DESIR FNP-BC

Provider Business Mailing Address
First Line	:	1234 NE 4TH AVE STE A
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33304-1977
Country	:	US
Telephone Number	:	954-779-1667
Fax Number	:	954-760-7253

Provider Business Practice Location Address
First Line	:	1234 NE 4TH AVE STE A
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33304-1977
Country	:	US
Telephone Number	:	954-779-1667
Fax Number	:	954-760-7253

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

Provider Enumeration Date	:	10/23/2015
Last Update Date	:	01/30/2026

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Directions to “ GUERLYNE DESIR FNP-BC” Practice Location

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