MS. MARIA R GUZMAN TENNANT (M.D.) – General Practice Physician, NPI 1104882133
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. MARIA R GUZMAN TENNANT (M.D.)
4120 US HIGHWAY 98 N STE 200
LAKELAND, FL 338093882
Phone: (863) 940-3147
Fax: (863) 940-3141
Type: Location
5350 SPRING HILL DR
SPRING HILL, FL 346064562
Phone: (352) 688-8116
Fax: (352) 686-9477
Type: Location
5400 PINEHURST DR
SPRING HILL, FL 346063833
Phone: (352) 277-5305
Fax: (352) 616-0926
Type: Mailing
PO BOX 4189
DEERFIELD BEACH, FL 334424189
Phone: (954) 363-9582
Fax: (954) 363-9663
Type: Mailing
608 INGRAHAM AVE
HAINES CITY, FL 338444330
Phone: (863) 422-9562
Fax: (863) 421-3246
Type: Location
6675, Westwood Boulevard, Orlando, Orange County, Florida, 32819-9363, United States
STE 475
ORLANDO, FL 328216027
Phone: (407) 845-0384
Fax: (888) 972-1752
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $73.
Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.
Last reported payment date: 2023-11-02 • Largest payer in this snapshot: Lilly USA, LLC ($73).
Total Amount
$73
General + Research + Ownership
Payments
4
Total payment records
General Amount
$73
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $73 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2003-11-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031111000002 | I | General Practice | PR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33809)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| General Practice | FL | |
| General Practice | PR | |
| - | FL | |
| General Practice | PR | |
| Internal Medicine | FL | |
| General Practice | FL | |
| - | FL | |
| - | FL |
Reviews
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