Provider Demographics
NPI:1043992258
Name:GUZMAN, VALENTINA ALEJANDRA (SURGICAL ASSISTANT)
Entity type:Individual
Prefix:
First Name:VALENTINA
Middle Name:ALEJANDRA
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:SURGICAL ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3609 N ECONLOCKHATCHEE TRL
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32817-1613
Mailing Address - Country:US
Mailing Address - Phone:352-818-3951
Mailing Address - Fax:
Practice Address - Street 1:3609 N ECONLOCKHATCHEE TRL
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32817-1613
Practice Address - Country:US
Practice Address - Phone:352-818-3951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL23-486246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant