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NPI Code Detail

MEDICARE: ANGELA GUZENSKI

MEDICARE: ANGELA GUZENSKI
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1376697300
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA GUZENSKI
Provider Business Mailing Address
First Line : 4500 W MIDWAY RD
Second Line :
City : FORT PIERCE
State : FL
Zip : 34981-4823
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4500 W MIDWAY RD
Second Line :
City : FORT PIERCE
State : FL
Zip : 34981-4823
Country : US
Telephone Number : 772-778-7217
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2007
Last Update Date : 07/08/2007

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Directions to “ ANGELA GUZENSKI ” Practice Location

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