Provider Demographics
NPI:1477935245
Name:GUSMANO, PRAGATI (ND)
Entity Type:Individual
Prefix:DR
First Name:PRAGATI
Middle Name:
Last Name:GUSMANO
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:PRAGATI
Other - Middle Name:
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1414 GAY RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-2928
Mailing Address - Country:US
Mailing Address - Phone:321-209-1689
Mailing Address - Fax:
Practice Address - Street 1:1414 GAY RD
Practice Address - Street 2:SUITE 204
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-2928
Practice Address - Country:US
Practice Address - Phone:321-209-1689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-29
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIND-268175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath