Grace G Guadiz MD PA

Organization Active NPI Gynecology Physician · Labelle, FL

NPI 1861662900 · NPPES record last updated Feb 18, 2009

Key facts

NPI
1861662900
Entity type
Organization (NPI type 2)
Primary specialty
Gynecology Physician 207VG0400X
License
ME29639 (FL)
Legal business name
GRACE G 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

Authorized official

Name
Mrs. Grace Gonzales Guadiz, M.D.
Title
President
Phone
(863) 675-2148

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

920 Cowboy Cir
Labelle, FL 33935
Phone (863) 675-2148

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207VG0400X ME29639 FL Yes

Addresses

Primary practice location

920 W Cowboy Way
Labelle, FL 33935

Mailing address

PO Box 625
Labelle, FL 33975-0625
Phone (863) 675-2148

Other providers in Labelle, FL

All providers in Labelle, FL · Gynecology Physician in Florida

Sources for this page

Verify at the official NPI Registry.