Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivan Guerrero MD PA

Organization Specialist · NPI 1053508184

Ivan Guerrero MD PA is a Specialist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6817 Southpoint Pkwy Ste 502
Jacksonville, FL 32216-6282
Phone: (904) 646-3017
Fax: (904) 646-1501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME82361 (FL)

Record details

NPI number1053508184
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ivan Guerrero — President · (904) 646-1987
NPI enumeratedOctober 3, 2007
Last updated in NPPESMay 21, 2015
Mailing addressPo Box 551272, Jacksonville, FL 32255-1272

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