MEDICARE: DR. YVETTE GUZMAN M.D.

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	208000000X	Pediatrics Physician	158884	FL
2	2080P0006X	Developmental - Behavioral Pediatrics Physician	011552	PR
3	2080P0006X	Developmental - Behavioral Pediatrics Physician	158884	FL
4	2083A0100X	Aerospace Medicine Physician	158884	FL
5	2083X0100X	Occupational Medicine Physician	158884	FL
6	208000000X	Pediatrics Physician	011552	PR

General Provider Information

NPI Number	:	1811982903
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YVETTE GUZMAN M.D.

Provider Business Mailing Address
First Line	:	2853 W STONEBROOK CIR
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33330-1299
Country	:	US
Telephone Number	:	407-506-3337
Fax Number	:

Provider Business Practice Location Address
First Line	:	2853 W STONEBROOK CIR
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33330-1299
Country	:	US
Telephone Number	:	407-506-3337
Fax Number	:

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

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	01/17/2024

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