Individual
ALEKSANDAR GUTALJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
1 SHIRCLIFF WAY, JACKSONVILLE, FL 32204-4748
(904) 387-4030
(904) 616-3374
Mailing address
8681 A C SKINNER PKWY APT 123, JACKSONVILLE, FL 32256-0841
(904) 616-3374
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
AA438
FL
367H00000X
Anesthesiologist Assistant
Primary
AA438
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA438
FLORIDA BOARD OF MEDICINE MEDICAL LICENSE
FL
Enumeration date
10/31/2017
Last updated
10/07/2019
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