Elsa Milagros Agurto Guanzon
Nurse Practitioner in Brandon, FL. Individual provider (NPI-1).
NPI number1063995751
StatusActive
Last updated in NPPESSep 21, 2020
Details
- NPI
- 1063995751
- Entity type
- Individual (NPI-1)
- Name
- Elsa Milagros Agurto Guanzon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 10, 2018
- Certification date
- Sep 21, 2020
- Last updated
- Sep 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 9198265 | FL | Yes |
Practice location
621 W Lumsden RdBrandon, FL 33511-5911
Phone 813-755-3500 · Fax 813-755-3300
Mailing address
621 W Lumsden RdBrandon, FL 33511-5911
Phone 813-755-3500 · Fax 813-755-3300
Other practice locations
635 Eichenfeld Dr
Brandon, FL 33511
Brandon, FL 33511
Phone 813-684-6000
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