Guzman, Gerson
Guzman, Gerson is an sole proprietor health care provider with primary practice located at 604 Montana Ave , Davenport FL 33897-5641. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Guzman, Gerson can be contacted via phone (407) 922-6656.Contact Information
Primary practice address
604 Montana Ave
Davenport FL 33897-5641
Phone: (407) 922-6656
Fax: (863) 438-5271
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA 6430 | Florida |
Profile Details
| NPI number | 1649347949 |
|---|---|
| LBN Legal business name | Guzman, Gerson |
| Credentials | MS, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Oct 25th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649347949 | NPPES |
| Florida | MEDICAID | 830047000 | |
| Florida | MEDICAID | 811892200 | |
| Florida | MEDICAID | 830047096 |
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