MEDICARE: SARITA GUZMAN APRN, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	11033410	FL

General Provider Information

NPI Number	:	1225873656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARITA GUZMAN APRN, FNP-BC

Provider Business Mailing Address
First Line	:	1701 SE HILLMOOR DR STE 7
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34952-7552
Country	:	US
Telephone Number	:	772-480-5860
Fax Number	:	772-264-8310

Provider Business Practice Location Address
First Line	:	1600 36TH ST STE C
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-4875
Country	:	US
Telephone Number	:	772-217-4422
Fax Number	:	772-217-4460

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2024
Last Update Date	:	01/13/2026

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