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NPI Code Detail

MEDICARE: DR. RUBEN GUZMAN M.D.

MEDICARE:  DR. RUBEN  GUZMAN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianME69119FL
2207VF0040XUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianME69119FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316051881
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RUBEN GUZMAN M.D.
Provider Business Mailing Address
First Line : 713 E MARION AVE STE 139
Second Line :
City : PUNTA GORDA
State : FL
Zip : 33950-3863
Country : US
Telephone Number : 941-205-2666
Fax Number : 941-205-2665
Provider Business Practice Location Address
First Line : 713 E MARION AVE STE 139
Second Line :
City : PUNTA GORDA
State : FL
Zip : 33950-3863
Country : US
Telephone Number : 941-205-2666
Fax Number : 941-205-2665
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2006
Last Update Date : 05/28/2024

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1265545297 — MS. MARCI MICHELLE MANNA MD
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1316210263 — CARRIE ELIZABETH INGRAM RN, MSN, APRN
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Directions to “ DR. RUBEN GUZMAN M.D.” Practice Location

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