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Individual

DR. ROSA GUZMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3837 HOLLYWOOD BLVD STE B, HOLLYWOOD, FL 33021-1243
(954) 647-3189
Mailing address
3837 HOLLYWOOD BLVD STE B, HOLLYWOOD, FL 33021-1243

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
64477
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18956W
BLUE CROSS/MEDICARE
FL
05
373132400
FL
Enumeration date
05/04/2010
Last updated
01/24/2013
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