Provider Demographics
NPI:1770008179
Name:GUERRIDO, ELBA (RRT)
Entity Type:Individual
Prefix:
First Name:ELBA
Middle Name:
Last Name:GUERRIDO
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 SAINT TROPEZ CT
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-3960
Mailing Address - Country:US
Mailing Address - Phone:407-388-4239
Mailing Address - Fax:
Practice Address - Street 1:1051 W DONEGAN AVE
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-2213
Practice Address - Country:US
Practice Address - Phone:407-343-8344
Practice Address - Fax:407-343-8565
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-07
Last Update Date:2017-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT126622279H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome Health