Bohm, Guillermo

Bohm, Guillermo is an individual health care provider with primary practice located at 4061 Bonita Beach Rd Ste 101 , Bonita Springs FL 34134-4073. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Bohm, Guillermo can be contacted via phone (239) 301-0105.

Contact Information

Primary practice address
4061 Bonita Beach Rd Ste 101 Bonita Springs FL 34134-4073
Phone: (239) 301-0105
Fax: (239) 301-0110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X ME65227 Florida

Profile Details

NPI number 1437157724
LBN Legal business name Bohm, Guillermo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Jan 10th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437157724 NPPES
Florida MEDICAID 374091900
Florida Other 23687A

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