Provider Demographics
NPI:1568144848
Name:GUGLIUZZA, VINCENZO WIN (CRNA)
Entity Type:Individual
Prefix:
First Name:VINCENZO
Middle Name:WIN
Last Name:GUGLIUZZA
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7530 ALOMA PINES CT
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-3813
Mailing Address - Country:US
Mailing Address - Phone:786-853-6497
Mailing Address - Fax:
Practice Address - Street 1:7530 ALOMA PINES CT
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-3813
Practice Address - Country:US
Practice Address - Phone:786-853-6497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-04
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11030583367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty