Guzman, Gerson

Guzman, Gerson is an sole proprietor health care provider with primary practice located at 604 Montana Ave , Davenport FL 33897-5641. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Guzman, Gerson can be contacted via phone (407) 922-6656.

Contact Information

Primary practice address
604 Montana Ave Davenport FL 33897-5641
Phone: (407) 922-6656
Fax: (863) 438-5271
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA 6430 Florida

Profile Details

NPI number 1649347949
LBN Legal business name Guzman, Gerson
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Oct 25th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649347949 NPPES
Florida MEDICAID 830047000
Florida MEDICAID 811892200
Florida MEDICAID 830047096

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