Individual
ELIZABETH A. GUANCIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1970 GOLF ST, SARASOTA, FL 34236
(941) 957-1000
(941) 951-2117
Mailing address
4371 VERONICA S SHOEMAKER BLVD, FORT MYERS, FL 33916-2216
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME135035
FL
207RH0000X
Hematology (Internal Medicine) Physician
ME135035
FL
207RX0202X
Medical Oncology Physician
Primary
ME135035
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024572800
—
FL
Enumeration date
02/27/2007
Last updated
06/11/2020
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