| Organization Name: | GRACE G GUADIZ MD PA |
| NPI Number: | 1861662900 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GRACE GONZALES GUADIZ (PRESIDENT) |
| Mailing Address: | 920 W Cowboy Way Labelle |
| State: | FL US |
| Postal Code: | 33935 |
| Phone Number: | 8636752148 |
| Fax Number: | 8636757078 |
| NPI Enumeration Date: | 03/05/2008 |
| NPI Last Update Date: | 02/18/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | ME29639 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |