Dr Ella Marie Guastavino, MD is a
Pediatrics physician based in Englewood, Florida. Dr Ella Marie Guastavino is licensed to practice in Florida (license number 0059964) and her current practice location is 3217 S Access Rd, Englewood, Florida. She can be reached at her office (for appointments etc.) via phone at
(941) 416-2864.
NPI number for Dr Ella Marie Guastavino is 1952430811 and her current mailing address is 7227 Teaberry St, Englewood, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952430811.
Physician's Profile
| Full Name | Dr Ella Marie Guastavino |
|---|
| Gender | Female |
|---|
| Speciality | Pediatrics |
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| Location | 3217 S Access Rd, Englewood, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1952430811
- Provider Enumeration Date: 03/05/2007
- Last Update Date: 10/07/2025
Medical Identifiers
Medical identifiers for Dr Ella Marie Guastavino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952430811 | NPI | - | NPPES |
| 054127300 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 185936 (New York) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | ME0059964 (Florida) | Secondary |
| 2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | ME0059964 (Florida) | Secondary |
| 163W00000X | Registered Nurse | 222304 (New York) | Secondary |
| 208000000X | Pediatrics | 0059964 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ella Marie Guastavino is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Ella Marie Guastavino, MD
7227 Teaberry St,
Englewood, FL 34224-8051
Ph: (941) 416-2864 | Dr Ella Marie Guastavino, MD
3217 S Access Rd,
Englewood, FL 34224-8644
Ph: (941) 416-2864 |
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