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ARMANDO NICHOLAS GUTIERREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13701 BRUCE B DOWNS BLVD, SUITE 104, TAMPA, FL 33613-4647
(813) 977-4426
(813) 977-4428
Mailing address
13701 BRUCE B DOWNS BLVD, SUITE 104, TAMPA, FL 33613-4647
(813) 977-4426
(813) 977-4428

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME0028029
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
038970600
FL
01
160033813
RAILROAD MEDICARE
01
225137
AVMED
01
26927
WELLCARE
01
30212
BLUE CROSS BLUE SHIELD
FL
01
705789
AETNA
Enumeration date
06/28/2006
Last updated
07/08/2007
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