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Jessica Maria Guambo

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as JESSICA GUAMBO.

Based on the most recent information from CMS, provider Jessica Maria Guambo is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:51 AM.

Profile Details

Provider ID
1417445248
Provider Type
Individual
Full Name
Guambo, Jessica Maria
Credential
FNP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
4/26/2018
Last Updated
4/26/2018

Contact Information

Practice Location

9927 Flynt Cir, Orlando, FL 32825-6565

(407) 325-7112

Unlisted Fax

Mailing Location

9927 Flynt Cir, Orlando, FL 32825-6565

(407) 325-7112

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 9270927 Florida

Jessica Maria Guambo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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