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Individual
DR. LUIS FERNANDO GUTIERREZ
Active
Individual
DR. LUIS FERNANDO GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME94423
FL
207QA0505X
Adult Medicine Physician
ME94423
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000052500
—
FL
01
—
10D0722060
CLIA
FL
01
—
11936941
CAQH
FL
01
—
921426220995003
MEDICARE
FL
01
—
ME94423
ME LICENSE
FL
Enumeration date
09/14/2006
Last updated
04/13/2023
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