Healthcare Provider Details

I. General information

NPI: 1518741586
Provider Name (Legal Business Name): ANALLELY GUZMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2023
Last Update Date: 03/27/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 US HWY 27 N
LAKE PLACID FL
33852
US

IV. Provider business mailing address

211 US HIGHWAY 27 N
SEBRING FL
33870-2132
US

V. Phone/Fax

Practice location:
  • Phone: 863-531-4129
  • Fax:
Mailing address:
  • Phone: 863-531-4129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberAPRN11028123
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: