# VICTOR GUZMAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043696669
- **Authorized official:** VICTOR GUZMAN (TARGETED CASE MANAGER)
- **Authorized official phone:** (808) 206-6163

## Contact information

- **Practice address:** 2502 HUNLEY LOOP, KISSIMMEE, FL 34743-5811
- **Practice address phone:** (808) 206-6163
- **Mailing address:** 2502 HUNLEY LOOP, KISSIMMEE, FL 34743
- **Mailing address phone:** (808) 206-6163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/05/2015
- **Last updated:** 08/05/2015