Individual provider Active NPI

Van Guzman

  • Acute Care Nurse Practitioner
  • Orange Park, FL
National Provider Identifier
1619852795
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN11041205 Issued in FL
Practice address
2035 Professional Center Dr Ste B
Orange Park, FL 32073-4462
Phone
(904) 264-7132
NPI assigned
Aug 8, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN11041205 FL Primary

Addresses

Primary practice location

2035 Professional Center Dr Ste B
Orange Park, FL 32073-4462

Mailing address

2035 Professional Center Dr Ste B
Orange Park, FL 32073-4462
Phone (904) 264-7132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN11041205FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Coast Infectious Disease Consultants LLC CurrentSince Sep 14, 2025 Accepting new patients

Locations

2035 Professional Center Dr
Orange Park, FL 32073
Phone (904) 272-0384

2035 Professional Center Dr
Ste B
Orange Park, FL 32073
Phone (904) 264-7132

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/2841d-FUNyRbAEZPU2fkwLVgAHCA3S2l/

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": "1754611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1619852795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 PROFESSIONAL CENTER DR STE B",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734462",
            "telephone_number": "904-264-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 PROFESSIONAL CENTER DR STE B",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734462",
            "telephone_number": "904-264-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "VAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11041205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.