Healthcare Provider Details

I. General information

NPI: 1902684749
Provider Name (Legal Business Name): SABRINA GUZSVANY FNP BC-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2023
Last Update Date: 12/06/2024
Certification Date: 12/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1667 N CLYDE MORRIS BLVD STE 2
DAYTONA BEACH FL
32117-5500
US

IV. Provider business mailing address

1667 N CLYDE MORRIS BLVD STE 2
DAYTONA BEACH FL
32117-5500
US

V. Phone/Fax

Practice location:
  • Phone: 863-518-6401
  • Fax:
Mailing address:
  • Phone: 863-518-6401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11027009
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: