Individual
MRS. EVISA GUTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3850 BIRD RD STE 102, MIAMI, FL 33146-1521
(305) 448-9100
(305) 448-1050
Mailing address
3850 BIRD RD STE 102, MIAMI, FL 33146-1521
(305) 448-9100
(305) 448-1050
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA-9114739
STATE OF FLORIDA PHYSICIAN ASSISTANT LICENSE
FL
Enumeration date
09/22/2010
Last updated
11/26/2023
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