Provider Demographics
NPI:1194506881
Name:GURO, ANDREW (APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:GURO
Suffix:
Gender:M
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3580 MYSTIC POINTE DR STE 109
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2554
Mailing Address - Country:US
Mailing Address - Phone:305-330-1775
Mailing Address - Fax:305-391-4496
Practice Address - Street 1:3580 MYSTIC POINTE DR STE 109
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2554
Practice Address - Country:US
Practice Address - Phone:305-330-1775
Practice Address - Fax:305-391-4496
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-10
Last Update Date:2024-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11029066363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health