Organization Active NPI

Guillermo L Font MD PA

  • Family Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1104101963
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME30077 Issued in FL
Legal business name
GUILLERMO L FONT MD PA
Practice address
407 Lincoln Rd
Suite 4L
Miami Beach, FL 33139-3020
Phone
(305) 532-9004
Fax
(305) 532-4036
NPI assigned
Oct 12, 2011
Last updated
Oct 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Guillermo Luis Font, MD
Title
President
Phone
(305) 532-9004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME30077 FL Primary

Addresses

Primary practice location

407 Lincoln Rd
Suite 4L
Miami Beach, FL 33139-3020

Mailing address

407 Lincoln Rd
Suite 4L
Miami Beach, FL 33139-3020
Phone (305) 532-9004

Other identifiers 1

IdentifierTypeStateIssuer
058985300MedicaidFL

National Provider Directory

National Provider Directory

Locations

407 Lincoln Rd
Ste 4L
Miami Beach, FL 33139
Phone (305) 532-9004

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1104101963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 LINCOLN RD",
            "address_2": "SUITE 4L",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393020",
            "telephone_number": "305-532-9004",
            "fax_number": "305-532-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 LINCOLN RD",
            "address_2": "SUITE 4L",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393020",
            "telephone_number": "305-532-9004",
            "fax_number": "305-532-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILLERMO L FONT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "FONT",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-532-9004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME30077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058985300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.