Organization Active NPI

Patrick H. Guadiz, MD, PA

  • Family Medicine Physician
  • Labelle, FL
National Provider Identifier
1508036641
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME92599 Issued in FL
Legal business name
PATRICK H. GUADIZ, MD, PA
Practice address
920 W Cowboy Way
Labelle, FL 33935
Phone
(863) 675-2148
Fax
(863) 675-7078
NPI assigned
Mar 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Mr. Patrick Hermy Guadiz, M.D.
Title
President
Phone
(863) 675-2148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME92599 FL Primary

Addresses

Primary practice location

920 W Cowboy Way
Labelle, FL 33935

Mailing address

PO Box 249
Labelle, FL 33975-0249
Phone (863) 675-2148

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1508036641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "LABELLE",
            "state": "FL",
            "postal_code": "339750249",
            "telephone_number": "863-675-2148",
            "fax_number": "863-675-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 W COWBOY WAY",
            "city": "LABELLE",
            "state": "FL",
            "postal_code": "33935",
            "telephone_number": "863-675-2148",
            "fax_number": "863-675-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK H. GUADIZ, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "GUADIZ",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "HERMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-675-2148",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME92599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Labelle, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.