IVAN GUERRERO MD PA
Medical Practice at Southpoint Pkwy, Jacksonville, FL

License number
Florida ME82361
Category
Medical Practice
Type
Specialist
Owner
Name: IVAN A GUERRERO M.D.
Title: PRESIDENT
Phone: (904) 646-1987
Address
Address
6817 Southpoint Pkwy SUITE 502, Jacksonville, FL 32216
National Provider ID: 1053508184
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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IVAN GUERRERO MD, PA

Jacksonville, FL

Industry:
Medical Doctor's Office
Registration:
Aug 3, 2007
Addresses:
6817 Southpoint Pkwy SUITE 502, Jacksonville, FL 32216 (Physical)
Jacksonville, FL 32255 (Mailing)
11555 Central Pkwy, Jacksonville, FL 32224
3243 Warnell Dr, Jacksonville, FL 32216
State ID:
P07000087813
Business type:
Domestic for Profit Corporation
Directors:
Ivan A Guerrero (President, Director), 10120 Ecton Ln, Jacksonville, FL 32246 (Physical),Wendy Lu, 8825 Perimeter Park Blvd, Jacksonville, FL 32216 (Physical),Joseph H Day & Company Llc (Director)
Agent:
Ivan Guerrero

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