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Individual

RAMON LUIS GERARDO GUZMAN RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
89 W COPELAND DR, ORLANDO, FL 32806-2002
(321) 841-7550
(321) 841-8185
Mailing address
89 W COPELAND DR, ORLANDO, FL 32806-2002
(321) 841-7550
(321) 841-8185

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11001919
FL
363LF0000X
Family Nurse Practitioner
11001919
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104922100
FL
Enumeration date
03/31/2019
Last updated
02/05/2020
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