Provider Demographics
NPI:1386046332
Name:OCONNOR, GUY ALFRED (AP)
Entity type:Individual
Prefix:DR
First Name:GUY
Middle Name:ALFRED
Last Name:OCONNOR
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2133 PREMIER DR S
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33707-3901
Mailing Address - Country:US
Mailing Address - Phone:813-843-3691
Mailing Address - Fax:
Practice Address - Street 1:2133 PREMIER DR S
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:FL
Practice Address - Zip Code:33707-3901
Practice Address - Country:US
Practice Address - Phone:813-843-3691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-22
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3548171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist