Provider Demographics
NPI:1811982903
Name:GUZMAN, YVETTE (MD)
Entity type:Individual
Prefix:DR
First Name:YVETTE
Middle Name:
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:YVETTE
Other - Middle Name:
Other - Last Name:GUZMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2853 W STONEBROOK CIR
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33330-1299
Mailing Address - Country:US
Mailing Address - Phone:407-506-3337
Mailing Address - Fax:
Practice Address - Street 1:2853 W STONEBROOK CIR
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33330-1299
Practice Address - Country:US
Practice Address - Phone:407-506-3337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-14
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL158884208000000X, 2080P0006X, 2083A0100X, 2083X0100X
PR0115522080P0006X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
No2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine