# PETER GUTIERREZ PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gutierrez Family Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023567997
- **Authorized official:** VIVIAN GUTIERREZ (VP)
- **Authorized official phone:** (305) 989-9844

## Contact information

- **Practice address:** 5040 NW 7TH ST STE 370, MIAMI, FL 33126-3431
- **Practice address phone:** (305) 444-7121
- **Practice address fax:** (305) 735-5062
- **Mailing address:** 10271 SW 72ND ST \# D102, MIAMI, FL 33173-3024
- **Mailing address phone:** (305) 989-9844
- **Mailing address fax:** (305) 735-5062

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ACN296 | FL | Yes |

## Other

- **Enumeration date:** 10/03/2016
- **Last updated:** 10/03/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003537402 | — | FL |