Active NPI
N.J. Guzman M.D. PA
- Pediatrics Physician
- Groveland, FL
National Provider Identifier
1578953774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- N.J. GUZMAN M.D. PA
- Practice address
- 104 E Cherry St
Groveland, FL 34736-2575 - Phone
- (352) 429-7879
- Fax
- (352) 429-7819
- NPI assigned
- Jan 27, 2015
- Last updated
- Jan 27, 2015
- 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
- Norma Jean Guzman, M.D.
- Title
- Physician/Owner
- Phone
- (352) 429-7879
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NU | Primary |
Addresses
Primary practice location
104 E Cherry St
Groveland, FL 34736-2575
Mailing address
104 E Cherry St
Groveland, FL 34736-2575
Phone (352) 429-7879
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 267687700 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
104 E Cherry St
Groveland, FL 34736
Phone (352) 241-8204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422316800000",
"number": "1578953774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 E CHERRY ST",
"city": "GROVELAND",
"state": "FL",
"postal_code": "347362575",
"telephone_number": "352-429-7879",
"fax_number": "352-429-7819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 E CHERRY ST",
"city": "GROVELAND",
"state": "FL",
"postal_code": "347362575",
"telephone_number": "352-429-7879",
"fax_number": "352-429-7819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "N.J. GUZMAN M.D. PA",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-27",
"last_updated": "2015-01-27",
"status": "A",
"authorized_official_last_name": "GUZMAN",
"authorized_official_first_name": "NORMA",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "352-429-7879",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "267687700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Groveland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.