Individual provider Active NPI

Luis Joel Guzman Guzman, APRN

  • Family Nurse Practitioner
  • Lake Wales, FL
National Provider Identifier
1336760552
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11043368 Issued in FL
Practice address
1255 State Road 60 E
Lake Wales, FL 33853-4310
Phone
(863) 676-8237
NPI assigned
Apr 28, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11043368 FL Primary

Addresses

Primary practice location

1255 State Road 60 E
Lake Wales, FL 33853-4310

Mailing address

1255 State Road 60 E
Ste 400
Lake Wales, FL 33853-4310
Phone (863) 676-8237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260309002316 FL Practitioner - Nurse Practitioner 7810470861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventhealth Primary Care Network IncGroup PAC ID 1557722410, 428 clinicians

Practice addresses (Care Compare)

1255 State Rd 60
Suite 400
Lake Wales, FL 33853-4310
Phone (863) 676-8237

661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11043368FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Primary Care Network Inc Family CurrentSince Apr 20, 2026 Accepting new patients

Locations

1255 State Road 60 E
Lake Wales, FL 33853
Phone (863) 232-5111

1255 State Road 60 E
Ste 400
Lake Wales, FL 33853
Phone (863) 676-2272

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1336760552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 STATE ROAD 60 E",
            "address_2": "STE 400",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534310",
            "telephone_number": "863-676-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 STATE ROAD 60 E",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534310",
            "telephone_number": "863-676-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN GUZMAN",
        "first_name": "LUIS",
        "middle_name": "JOEL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-28",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11043368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Wales, FL

Sources for this page

Verify at the official NPI Registry.