GUARDIAN ANGEL HEALTH SERVICES INC NPI 1619022100

NPI Information

NPI: 1619022100
Provider Name: GUARDIAN ANGEL HEALTH SERVICES INC
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

CLIA Number: 10D2091689

Address:
3550 W WATERS AVE STE 101
TAMPA, FL
ZIP 33614
Phone: (813) 877-5320
Get Directions

GUARDIAN ANGEL HEALTH SERVICES INC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Tampa, FL. GUARDIAN ANGEL HEALTH SERVICES INC NPI is 1619022100. The provider is registered as an organization entity type.

The provider's business location address is:

3550 W WATERS AVE STE 101
TAMPA, FL
ZIP 33614-767
Phone: (813) 877-5320
Fax: (813) 644-6919

The provider's authorized official is Alexeis Macuya .
The authorized official title is Owner. and has the following contact phone number (813) 877-5320.

The CLIA number assigned to this NPI record is 10D2091689 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 1/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	26QR0401X	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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