Organization Active NPI

Guardian Integrated Care, LLC

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Winter Park, FL
National Provider Identifier
1265892327
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X
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

Updated by the provider on Nov 1, 2016

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)CodeLicenseStatePrimary
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.