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Individual
ANDREW GUTTILLA
Active
Individual
ANDREW GUTTILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MT217689
PA
208M00000X
Hospitalist Physician
Primary
ME165350
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120159200
—
FL
01
—
MT217689
TRAINING LICENSE
PA
01
—
UB7B
FL BCBS
FL
Enumeration date
05/22/2019
Last updated
11/21/2023
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