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NPI Code Detail

MEDICARE: GUIDEWELL SANITAS I, LLC

MEDICARE: GUIDEWELL SANITAS I, LLC
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
1261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1891273769
Entity Type Code : Organization
Provider Name (Legal Business Name) : GUIDEWELL SANITAS I, LLC
Provider Business Mailing Address
First Line : 8400 NW 33RD ST STE 201
Second Line :
City : DORAL
State : FL
Zip : 33122-1937
Country : US
Telephone Number : 786-882-2869
Fax Number :
Provider Business Practice Location Address
First Line : 11750 E COLONIAL DR
Second Line :
City : ORLANDO
State : FL
Zip : 32817-4624
Country : US
Telephone Number : 305-470-2929
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : JUAN DIEGO ESTRADA
Credential : MD
Telephone Number : 786-882-2869
Provider Enumeration Date : 08/02/2018
Last Update Date : 02/06/2024

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Directions to “GUIDEWELL SANITAS I, LLC ” Practice Location

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