Organization Active NPI

N.J. Guzman M.D. PA

  • Pediatrics Physician
  • Groveland, FL
National Provider Identifier
1578953774
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
267687700MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.