Healthcare Provider Details

I. General information

NPI: 1023495231
Provider Name (Legal Business Name): A PERFECT LATCH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2015
Last Update Date: 04/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10589 MAPLE CHASE DR
BOCA RATON FL
33498-4810
US

IV. Provider business mailing address

10589 MAPLE CHASE DR
BOCA RATON FL
33498-4810
US

V. Phone/Fax

Practice location:
  • Phone: 561-414-6758
  • Fax: 561-826-8554
Mailing address:
  • Phone: 561-414-6758
  • Fax: 561-826-8554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number2698262
License Number StateFL

VIII. Authorized Official

Name: BRIDGET ANN GUZZI
Title or Position: RN IBCLC
Credential:
Phone: 561-414-6758