Provider Demographics
NPI:1255545646
Name:FGUYER, SLEEM (MD)
Entity type:Individual
Prefix:MR
First Name:SLEEM
Middle Name:
Last Name:FGUYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:SLIM
Other - Middle Name:
Other - Last Name:FGAIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8377 CORKFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-5008
Mailing Address - Country:US
Mailing Address - Phone:608-217-7768
Mailing Address - Fax:
Practice Address - Street 1:2626 CAPITAL MEDICAL BLVD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4402
Practice Address - Country:US
Practice Address - Phone:407-419-1763
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME111382208000000X, 208000000X
IL036-118333207RA0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207RA0000XAllopathic & Osteopathic PhysiciansInternal MedicineAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL37-1877253OtherFGUYER LLC
WI1255545646Medicaid