| Guidewell Sanitas I, Llc | |
|
14540 Chancellor Blvd Units 1-9 Port Charlotte FL 33953 | |
| (844) 665-4827 | |
| Not Available |
| Full Name | Guidewell Sanitas I, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 14540 Chancellor Blvd, Port Charlotte, Florida |
| Authorized Official Name and Position | Juan Diego Estrada (CEO) |
| Authorized Official Contact | 7868822869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guidewell Sanitas I, Llc 8400 Nw 33rd St Ste 201 Doral FL 33122-1937 Ph: (844) 665-4827 | Guidewell Sanitas I, Llc 14540 Chancellor Blvd Units 1-9 Port Charlotte FL 33953 Ph: (844) 665-4827 |
| NPI Number | 1942049028 |
|---|---|
| Provider Enumeration Date | 05/20/2024 |
| Last Update Date | 09/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942049028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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