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Organization

JAIME G GUTIERREZ MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAIME GABRIEL GUTIERREZ MD (PRESIDENT)
(305) 763-0880
Entity
Organization

Contact information

Practice address
10454 NW 31ST TER, DORAL, FL 33172-1200
(305) 477-9363
(305) 468-0325
Mailing address
PO BOX 310966, MIAMI, FL 33231-0966
(305) 763-0880
(305) 468-0325

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
ME98062
FL
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
ME98062
FL
208D00000X
General Practice Physician
Primary
ME98062
FL

Other

Enumeration date
01/11/2010
Last updated
01/22/2010
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