Organization
ATHENA HEALTH CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMAURY GUERRA GUTIERREZ M.D. (PRESIDENT)
(305) 742-5026
Entity
Organization
Contact information
Practice address
4240 LAKELAND HIGHLANDS RD, LAKELAND, FL 33813-3113
(863) 646-8699
Mailing address
5714 VINTAGE VIEW BLVD, LAKELAND, FL 33812-5067
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
ME115832
FL
Other
Enumeration date
01/27/2015
Last updated
09/03/2015
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