Active NPI
Enrique J Ortiz Guzman, M.D.
- General Practice Physician
- Haines City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 17458
- Practice address
- 602 US Highway 17 92 N
Haines City, FL 33844-9461 - Phone
- (863) 858-8000
- NPI assigned
- Apr 14, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 17458 | PR | Primary |
Addresses
Primary practice location
602 US Highway 17 92 N
Haines City, FL 33844-9461
Mailing address
13784 Beckman Dr.
Windermere, FL 34786
Phone (787) 245-1327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190627001139 | FL | Practitioner - Family Practice | 3577714096 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3810 S Florida Ave
Lakeland, FL 33813-1125
Phone (863) 619-5100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctor Today TLC, LLC | Current | Accepting new patients | |
| Doctor Today Urgent Care LLC | Current | Accepting new patients | |
| Doctor Today TLC, LLC | Past | Accepting new patients |
Locations
101 Magnolia Ave
Auburndale, FL 33823
Phone (863) 858-8000
1045 US Highway 17 S
Bartow, FL 33830
Phone (717) 331-7371
602 US Highway 17 92 N
Haines City, FL 33844
Phone (863) 858-8000
3810 S Florida Ave
Ste 120
Lakeland, FL 33813
Phone (863) 858-8000
4435 US Highway 98 N
Lakeland, FL 33809
Phone (863) 858-8000
3810 S Florida Ave
Lakeland, FL 33813
Phone (863) 619-5100
700 1st St S
Winter Haven, FL 33880
Phone (863) 226-5589
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Lakeland, FL
- NPI 1316224033
-
- Primary Care Clinic/Center
- Lakeland, FL
- NPI 1861689796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431648000000",
"number": "1992948434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13784 BECKMAN DR.",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "34786",
"telephone_number": "787-245-1327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 US HIGHWAY 17 92 N",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338449461",
"telephone_number": "863-858-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ GUZMAN",
"first_name": "ENRIQUE",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-14",
"last_updated": "2015-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "17458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Haines City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.