NPIMap

Organization Active NPI

Guidewell Sanitas I, LLC

  • Multi-Specialty Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1134952575
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
GUIDEWELL SANITAS I, LLC
Practice address
4800 Deerwood Campus Pkwy
Deerwood Campus Complex BLDG 300, 1St Floor
Jacksonville, FL 32246
Phone
(844) 665-4827
NPI assigned
Aug 21, 2024
Last updated
Aug 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Juan Diego Estrada, MD
Title
President
Phone
(305) 921-7619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

4800 Deerwood Campus Pkwy
Deerwood Campus Complex BLDG 300, 1St Floor
Jacksonville, FL 32246

Mailing address

8400 NW 33Rd St Ste 201
Doral, FL 33122-1937
Phone (844) 665-4827

National Provider Directory

National Provider Directory
Tax ID family
Sanitas Plantation Idtc86 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1134952575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 NW 33RD ST STE 201",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221937",
            "telephone_number": "844-665-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 DEERWOOD CAMPUS PKWY",
            "address_2": "DEERWOOD CAMPUS COMPLEX BLDG 300, 1ST FLOOR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32246",
            "telephone_number": "844-665-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDEWELL SANITAS I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "DIEGO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-921-7619",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.