Provider Demographics
NPI:1730772294
Name:GUALDI, LYNN HAMILTON (RN)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:HAMILTON
Last Name:GUALDI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1506 E JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-2144
Mailing Address - Country:US
Mailing Address - Phone:321-287-8061
Mailing Address - Fax:401-216-3504
Practice Address - Street 1:7300 CURRY FORD RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-7929
Practice Address - Country:US
Practice Address - Phone:401-665-1391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-16
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9530190163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse