Provider Demographics
NPI:1396755799
Name:GUTHRIE, GEORGE EDWARD (MD MPH CDE CNS)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:EDWARD
Last Name:GUTHRIE
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Gender:M
Credentials:MD MPH CDE CNS
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Mailing Address - Street 1:133 BENMORE DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-4143
Mailing Address - Country:US
Mailing Address - Phone:407-646-7070
Mailing Address - Fax:407-646-7757
Practice Address - Street 1:133 BENMORE DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-4143
Practice Address - Country:US
Practice Address - Phone:407-646-7070
Practice Address - Fax:407-646-7757
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2012-02-01
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Provider Licenses
StateLicense IDTaxonomies
FLME 98593207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKD15108Medicare UPIN