| Gary J. Guzzardo, MD, Inc. | |
|
2100 Se Ocean Blvd Ste 103 Stuart FL 34996-3332 | |
| (772) 247-7856 | |
| (772) 247-7854 |
| Full Name | Gary J. Guzzardo, MD, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2100 Se Ocean Blvd Ste 103, Stuart, Florida |
| Authorized Official Name and Position | Tyler Berger (OWNER) |
| Authorized Official Contact | 3055046797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary J. Guzzardo, MD, Inc. 2100 Se Ocean Blvd Ste 103 Stuart FL 34996-3332 Ph: (772) 247-7856 | Gary J. Guzzardo, MD, Inc. 2100 Se Ocean Blvd Ste 103 Stuart FL 34996-3332 Ph: (772) 247-7856 |
| NPI Number | 1639337140 |
|---|---|
| Provider Enumeration Date | 05/30/2008 |
| Last Update Date | 09/10/2026 |
| Certification Date | 09/10/2026 |
| Medicare PECOS PAC ID | 8123503521 |
|---|---|
| Medicare Enrollment ID | O20260403000120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639337140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME54901 (Florida) | Primary |
| Provider Name | Perry J Stein |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1104932508 PECOS PAC ID: 0648234823 Enrollment ID: I20201207000458 |
| Provider Name | Tammy Diane Donnick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760120877 PECOS PAC ID: 0941689517 Enrollment ID: I20220628002463 |
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