Individual
DR. SARA INES GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4500 HODGES BLVD STE 1, JACKSONVILLE, FL 32224-2345
(904) 347-2773
(904) 647-2647
Mailing address
4500 HODGES BLVD STE 1, JACKSONVILLE, FL 32224-2345
(904) 347-2773
(904) 647-2647
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME112812
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006791900
—
FL
05
—
092162803B
—
GA
05
—
092162803C
—
GA
05
—
092162803D
—
GA
01
—
10053753
AMERIGROUP CMO
GA
01
—
336212
WELLCARE
GA
01
—
52887600
BLUE CROSS BLUE SHIELD GA
GA
Enumeration date
08/11/2006
Last updated
10/05/2015
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