Healthcare Provider Details

I. General information

NPI: 1811982903
Provider Name (Legal Business Name): YVETTE GUZMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: YVETTE GUZMAN M.D.

II. Dates (important events)

Enumeration Date: 09/14/2005
Last Update Date: 01/17/2024
Certification Date: 01/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2853 W STONEBROOK CIR
DAVIE FL
33330-1299
US

IV. Provider business mailing address

2853 W STONEBROOK CIR
DAVIE FL
33330-1299
US

V. Phone/Fax

Practice location:
  • Phone: 407-506-3337
  • Fax:
Mailing address:
  • Phone: 407-506-3337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number158884
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License Number011552
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License Number158884
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code2083A0100X
TaxonomyAerospace Medicine Physician
License Number158884
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number158884
License Number StateFL
# 6
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number011552
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: