Guastavino, Ella Marie

Guastavino, Ella Marie is an sole proprietor health care provider with primary practice located at 900 East Pine Street Units 216-217, Englewood FL 34223-4418. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Guastavino, Ella Marie can be contacted via phone (941) 474-5093.

Contact Information

Primary practice address
900 East Pine Street Units 216-217 Englewood FL 34223-4418
Phone: (941) 474-5093
Fax: (941) 474-9049
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 222304 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 185936 New York
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X ME0059964 Florida
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X ME0059964 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0059964 Florida

Profile Details

NPI number 1952430811
LBN Legal business name Guastavino, Ella Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2007
Last updated Mar 13th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952430811 NPPES
Florida MEDICAID 054127300

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