Healthcare Provider Details

I. General information

NPI: 1275482622
Provider Name (Legal Business Name): ASHLEY GUZMAN PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 01/30/2026
Certification Date: 01/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2910 MAGUIRE RD STE 2002
OCOEE FL
34761-4742
US

IV. Provider business mailing address

2910 MAGUIRE RD STE 2002
OCOEE FL
34761-4742
US

V. Phone/Fax

Practice location:
  • Phone: 407-287-1664
  • Fax:
Mailing address:
  • Phone: 407-287-1664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11045118
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: