Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | D0089253 | MD |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | ME149600 | FL |
NPI | 1295120756 |
---|---|
Provider Name | Javier Z. Guzman |
First Address | Venice, FL 34292-7554 |
Second Address | Venice, FL 34292-7554 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2015 |
Last Update Date | 21/09/2021 |