Provider Demographics
NPI:1023849189
Name:GUIDA, CATHERINE MICHELLE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:MICHELLE
Last Name:GUIDA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-5664
Mailing Address - Country:US
Mailing Address - Phone:561-891-1149
Mailing Address - Fax:
Practice Address - Street 1:1660 W TENNESSEE ST
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32304-3581
Practice Address - Country:US
Practice Address - Phone:850-359-9307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9119719363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant