Bonnye Melissa Guidry
Specialist/Technologist in Brandon, FL. Individual provider (NPI-1).
NPI number1154969822
StatusActive
Last updated in NPPESDec 13, 2019
Details
- NPI
- 1154969822
- Entity type
- Individual (NPI-1)
- Name
- Bonnye Melissa Guidry
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 12, 2019
- Certification date
- Dec 13, 2019
- Last updated
- Dec 13, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225500000X | Specialist/Technologist | – | FL | Yes |
Practice location
104 Bessemer CirBrandon, FL 33511-7953
Phone 954-461-7515
Mailing address
104 Bessemer CirBrandon, FL 33511-7953
Phone 954-461-7515
Other practice locations
18115 N Us Highway 41 Ste 200
Lutz, FL 33549-4481
Lutz, FL 33549-4481
Phone 813-389-5301 · Fax 813-540-8271
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