Organization
GRACE G GUADIZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRACE GONZALES GUADIZ M.D. (PRESIDENT)
(863) 675-2148
Entity
Organization
Contact information
Practice address
920 W COWBOY WAY, LABELLE, FL 33935
(863) 675-2148
(863) 675-7078
Mailing address
PO BOX 625, LABELLE, FL 33975-0625
(863) 675-2148
(863) 675-7078
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME29639
FL
Other
Enumeration date
03/05/2008
Last updated
02/18/2009
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