| Doctor Name: | DR. MARIA R GUZMAN TENNANT |
| NPI Number: | 1104882133 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 15044 |
| Business Practice Address: | 483 N Semoran Blvd Suite 103 Winter Park, FL - 327923800 |
| Business Phone Number: | 4076802273 |
| Business Fax Number: | 3212740224 |
| Mailing Address: | 483 N Semoran Blvd, Suite 103 WINTER PARK |
| State: | FL |
| Postal Code: | 327923800 |
| Phone Number: | 4076802273 |
| Fax Number: | 3212740224 |
| NPI Enumeration Date: | 04/26/2006 |
| NPI Last Update Date: | 05/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 15044 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |