Individual
MR. GERSON GUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Contact information
Practice address
604 MONTANA AVE, DAVENPORT, FL 33897-5641
(407) 922-6656
(863) 438-5271
Mailing address
604 MONTANA AVE, DAVENPORT, FL 33897-5641
(407) 922-6656
(863) 438-5271
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 6430
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811892200
—
FL
05
—
830047000
—
FL
05
—
830047096
—
FL
Enumeration date
11/29/2006
Last updated
10/25/2021
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