Individual
RAMON GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.P.
Contact information
Practice address
4904 S CLYDE MORRIS BLVD, STE D2, PORT ORANGE, FL 32129-4170
(386) 898-0908
(386) 898-0242
Mailing address
4904 S CLYDE MORRIS BLVD, STE D2, PORT ORANGE, FL 32129-4170
(386) 898-0908
(386) 898-0242
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720155997
GROUP NPI
FL
01
—
C2977
BCBS ACU # RAMON
FL
01
—
Y923D
BCBS FACILITY # OC
FL
01
—
Y923L
BCBS FACILITY # PO
FL
01
—
Y926B
BCBS FACILITY # OB
FL
Enumeration date
06/21/2007
Last updated
07/08/2007
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