Organization
PETER GUTIERREZ PA
Active
Other names
Gutierrez Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN GUTIERREZ (VP)
(305) 989-9844
Entity
Organization
Contact information
Practice address
5040 NW 7TH ST STE 370, MIAMI, FL 33126-3431
(305) 444-7121
(305) 735-5062
Mailing address
10271 SW 72ND ST # D102, MIAMI, FL 33173-3024
(305) 989-9844
(305) 735-5062
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN296
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003537402
—
FL
Enumeration date
10/03/2016
Last updated
10/03/2016
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