Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edisson Guaman

Individual provider Physician Assistant · NPI 1710348024

Edisson Guaman is a Physician Assistant in Boynton Beach, Florida. Qualified in 2016, 10 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2016
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Practice location Address checks out

12373 Colony Preserve Dr
Boynton Beach, FL 33436-5807
Phone: (561) 617-0686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9110396 (FL)

Record details

NPI number1710348024
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 14, 2016
Last updated in NPPESOctober 3, 2023
Certification dateOctober 3, 2023
Mailing address12373 Colony Preserve Dr, Boynton Beach, FL 33436-5807

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Boynton Beach