Dr. Johnny Dimas Guzman, DO, MS
Family Medicine in Wilton Manors, FL. Individual provider (NPI-1).
NPI number1942647656
StatusActive
Last updated in NPPESSep 23, 2024
Details
- NPI
- 1942647656
- Entity type
- Individual (NPI-1)
- Name
- Dr. Johnny Dimas Guzman
- Credential
- DO, MS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 4, 2013
- Certification date
- Sep 23, 2024
- Last updated
- Sep 23, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | OS16879 | FL | Yes |
| 207Q00000X | Family Medicine | DO034618 | DC | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2307 N Andrews AveWilton Manors, FL 33311-3924
Phone 855-955-5428 · Fax 844-389-0835
Mailing address
2307 N Andrews AveWilton Manors, FL 33311-3924
Phone 855-955-5428 · Fax 844-389-0835
Other practice locations
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