Healthcare Provider Details

I. General information

NPI: 1619771482
Provider Name (Legal Business Name): GUIDEWELL EMERGENCY MEDICINE DOCTORS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2025
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9580 W COLONIAL DR
OCOEE FL
34761-6947
US

IV. Provider business mailing address

4800 DEERWOOD CAMPUS PARKWAY, DC 100/4TH FLOOR
JACKSONVILLE FL
32246
US

V. Phone/Fax

Practice location:
  • Phone: 321-888-2511
  • Fax:
Mailing address:
  • Phone: 904-885-2413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KAREN N ANDREWS
Title or Position: VP OF CLINICAL OPERATIONS
Credential: RN
Phone: 904-885-2413