Healthcare Provider Details

I. General information

NPI: 1326924614
Provider Name (Legal Business Name): CRISTIAN R GUZMAN PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 DURRANCE ST
PUNTA GORDA FL
33950-4805
US

IV. Provider business mailing address

305 DURRANCE ST
PUNTA GORDA FL
33950-4805
US

V. Phone/Fax

Practice location:
  • Phone: 941-585-1041
  • Fax:
Mailing address:
  • Phone: 941-585-1041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS69081
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: