Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1952547721 Deactivated / Inactive NPI Male Practitioner

Dr. Guillermo G Coquelet , MD

General Practice • Fort Pierce, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Guillermo Coquelet has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 30, 2008
NPI Deactivation Date September 18, 2024
Total Practice Duration ~16 Years of Practice (2008 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Guillermo Coquelet, MD was a registered General Practice practicing in Fort Pierce, FL. Throughout an active medical career spanning 16 years, Dr. Coquelet provided care at the practice location at 4640 S 25TH ST until profile deactivation on 2024-09-18.

Practice Location & Contact Primary Location

Practice Address

4640 S 25th St

Fort Pierce, FL 349815057

Telephone 7724668884
Fax 7724668832
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Fort Pierce, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.3 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
9 Specialists

Practicing in Fort Pierce, FL (2490 Statewide)

Telehealth Adoption Rate
22.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ME22682

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Kerry Amato , ARNP

Nurse Practitioner - Family

NPI 1245722552

Advanced Registered Nurse Practitioner

Sarah Mayer , ARNP

Nurse Practitioner - Family

NPI 1477796589

Advanced Registered Nurse Practitioner

Dr. Denise Punger , MD

Family Medicine

NPI 1851398994

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 18, 2024

Record deactivated on September 18, 2024

NPI Profile Active December 30, 2008

NPI status registered as active in NPPES database

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Updated Practice Location December 30, 2008

Registered at 4640 S 25TH ST, FORT PIERCE, FL 349815057 (Tel: 7724668884)

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Updated Business Mailing Address December 30, 2008

Registered at 4640 S 25TH ST, FORT PIERCE, FL 349815057 (Tel: 7724668884)

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Provider Name / Credentials Updated December 30, 2008

Recorded as GUILLERMO COQUELET, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2008

General Practice (License #ME22682 in FL)

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Initial NPI Registration & Enumeration December 30, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952547721
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 30, 2008
Last Update: December 30, 2008
Deactivation Date: September 18, 2024

Mailing Address

4640 S 25th St

Fort Pierce, FL 349815057

Phone: 7724668884

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.