Individual
MR. MATTHEW GUTSTADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 NE 24TH WAY, FT LAUDERDALE, FL 33304-3569
(954) 557-0319
Mailing address
750 NE 24TH WAY, FT LAUDERDALE, FL 33304-3569
(954) 557-0319
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
000787000
FL
Other
Enumeration date
01/28/2022
Last updated
01/29/2022
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