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NPI Code Detail

MEDICARE: WILFREDO ALEXIS GUZMAN

MEDICARE: WILFREDO ALEXIS GUZMAN
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
1101YM0800XMental Health CounselorMH23894FL

General Provider Information

NPI Number : 1427812320
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILFREDO ALEXIS GUZMAN
Provider Business Mailing Address
First Line : 801 N MAGNOLIA AVE STE 106
Second Line :
City : ORLANDO
State : FL
Zip : 32803-3841
Country : US
Telephone Number : 321-800-2922
Fax Number :
Provider Business Practice Location Address
First Line : 801 N MAGNOLIA AVE STE 106
Second Line :
City : ORLANDO
State : FL
Zip : 32803-3841
Country : US
Telephone Number : 321-800-2922
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2024
Last Update Date : 03/07/2025

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Directions to “ WILFREDO ALEXIS GUZMAN ” Practice Location

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