Healthcare Provider Details

I. General information

NPI: 1730695248
Provider Name (Legal Business Name): ELENA GUZMAN MEREDITH FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELENA GUZMAN

II. Dates (important events)

Enumeration Date: 12/19/2017
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1216 SE 24TH RD
OCALA FL
34471-6010
US

IV. Provider business mailing address

1216 SE 24TH RD
OCALA FL
34471-6010
US

V. Phone/Fax

Practice location:
  • Phone: 352-664-2281
  • Fax:
Mailing address:
  • Phone: 352-664-2281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9302366
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: