MEDICARE: LIMUEL OCAMPO DE GUZMAN

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
1	363L00000X	Nurse Practitioner	ARNP5285844	FL

General Provider Information

NPI Number	:	1891288791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIMUEL OCAMPO DE GUZMAN

Provider Business Mailing Address
First Line	:	200 SAINT ANDREWS BLVD APT 1802
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-4269
Country	:	US
Telephone Number	:	407-782-6721
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 E ROLLINS ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-1273
Country	:	US
Telephone Number	:	407-303-5600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2018
Last Update Date	:	08/12/2018

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Directions to “ LIMUEL OCAMPO DE GUZMAN ” Practice Location

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