# GUTLEBER MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JOHN C GUTLEBER MD PA
- **Other names:** Gutleber Medical Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1770010753
- **Legal business name:** JOHN C GUTLEBER MD PA
- **Authorized official:** MARIA ELENA GUTLEBER (PRESIDENT)
- **Authorized official phone:** (305) 323-7455

## Contact information

- **Practice address:** 139 NE 15TH ST, HOMESTEAD, FL 33030-4508
- **Practice address phone:** (305) 247-1213
- **Practice address fax:** (305) 247-1213
- **Mailing address:** 139 NE 15TH ST, HOMESTEAD, FL 33030-4508
- **Mailing address phone:** (305) 247-1213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/22/2017
- **Last updated:** 12/03/2021