Provider Demographics
NPI:1144181603
Name:GUIDED HEALTH FLORIDA LLC
Entity type:Organization
Organization Name:GUIDED HEALTH FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOLINE
Authorized Official - Middle Name:J
Authorized Official - Last Name:BLANC
Authorized Official - Suffix:
Authorized Official - Credentials:MSBS, PA-C
Authorized Official - Phone:561-317-8454
Mailing Address - Street 1:211 REENA DR
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32117-0065
Mailing Address - Country:US
Mailing Address - Phone:561-317-8454
Mailing Address - Fax:
Practice Address - Street 1:2001 PALM BEACH LAKES BLVD # 3000
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-6510
Practice Address - Country:US
Practice Address - Phone:561-317-8454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-22
Last Update Date:2025-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty