Provider Demographics
NPI:1871307215
Name:GUIMIL ALBERTO, JORGE (FNP-C)
Entity type:Individual
Prefix:
First Name:JORGE
Middle Name:
Last Name:GUIMIL ALBERTO
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5902 MEMORIAL HWY APT 1410
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-5056
Mailing Address - Country:US
Mailing Address - Phone:813-580-9186
Mailing Address - Fax:
Practice Address - Street 1:5902 MEMORIAL HWY APT 1410
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-5056
Practice Address - Country:US
Practice Address - Phone:813-580-9186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11037543363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily