Individual
MISS BRENDA M GUZMAN-VILLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1919 LAKELAND HILLS BLVD, PALM TERRACE OF LAKELAND, LAKELAND, FL 33805-2901
(863) 688-5612
(863) 687-8870
Mailing address
401 NORTH MICHIGAN AVE, 1200, CHICAGO, IL 60611-4264
(312) 635-0973
(813) 290-9691
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME119566
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013483900
—
FL
01
—
ME119566
LICENSE
FL
01
—
P01393385
RAILROAD MEDICARE
FL
Enumeration date
09/20/2006
Last updated
10/26/2015
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