Active NPI
Guardian Integrated Care, LLC
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
- Winter Park, FL
National Provider Identifier
1265892327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- GUARDIAN INTEGRATED CARE, LLC
- Practice address
- 483 N Semoran Blvd
Suite 205
Winter Park, FL 32792-3800 - Phone
- (407) 215-6340
- NPI assigned
- Mar 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Grant Nelson
- Title
- Director
- Phone
- (480) 620-8261
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | 2081N0008X | Primary |
Addresses
Primary practice location
483 N Semoran Blvd
Suite 205
Winter Park, FL 32792-3800
Mailing address
483 N Semoran Blvd
Suite 106
Winter Park, FL 32792-3800
National Provider Directory
National Provider DirectoryLocations
483 N Semoran Blvd
Ste 106
Winter Park, FL 32792
Phone (407) 630-7330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477958400000",
"number": "1265892327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "483 N SEMORAN BLVD",
"address_2": "SUITE 106",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327923800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "483 N SEMORAN BLVD",
"address_2": "SUITE 205",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327923800",
"telephone_number": "407-215-6340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUARDIAN INTEGRATED CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-02",
"last_updated": "2016-11-01",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "GRANT",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "480-620-8261"
},
"taxonomies": [
{
"code": "2081N0008X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.