Healthcare Provider Details

I. General information

NPI: 1467208108
Provider Name (Legal Business Name): MARIA ELENA GUIARDINU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2024
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12985 SW 130TH CT UNIT 101
MIAMI FL
33186-5344
US

IV. Provider business mailing address

10415 SW 145TH AVE
MIAMI FL
33186-2918
US

V. Phone/Fax

Practice location:
  • Phone: 786-250-3561
  • Fax: 786-250-3562
Mailing address:
  • Phone: 786-458-1883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2828081
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: