Basic Information
| Provider Information | |||||||||
| NPI: | 1871575571 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GUETHON | ||||||||
| FirstName: | JOSE | ||||||||
| MiddleName: | ALBERTO | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 250 S AUSTRALIAN AVE | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | WEST PALM BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334015018 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5618058500 | ||||||||
| FaxNumber: | 5618058501 | ||||||||
| Practice Location | |||||||||
| Address1: | 10413 SOUTHERN BLVD | ||||||||
| Address2: | |||||||||
| City: | ROYAL PALM BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334114340 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5617931713 | ||||||||
| FaxNumber: | 5617933242 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/17/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | ME56719 | FL | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.