Individual
EDISSON GUAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12373 COLONY PRESERVE DR, BOYNTON BEACH, FL 33436-5807
(561) 617-0686
Mailing address
12373 COLONY PRESERVE DR, BOYNTON BEACH, FL 33436-5807
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9110396
FL
Other
Enumeration date
03/14/2016
Last updated
10/03/2023
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