Basic Information
| Provider Information | |||||||||
| NPI: | 1992239453 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | REYNE GUERRA | ||||||||
| FirstName: | JOANY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2727 W DR MARTIN LUTHER KING JR BLVD STE 850 | ||||||||
| Address2: | |||||||||
| City: | TAMPA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 336076397 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8138712717 | ||||||||
| FaxNumber: | 8138763558 | ||||||||
| Practice Location | |||||||||
| Address1: | 2727 W DR MARTIN LUTHER KING JR BLVD STE 850 | ||||||||
| Address2: | |||||||||
| City: | TAMPA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 336076397 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8138712717 | ||||||||
| FaxNumber: | 8138763558 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/11/2017 | ||||||||
| LastUpdateDate: | 09/01/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/01/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | ME143802 | FL | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.