Individual
DR. JUAN CARLOS GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1720 SE 16TH AVE STE 303, OCALA, FL 34471-4620
(352) 368-1661
(352) 867-9497
Mailing address
1720 SE 16TH AVE STE 303, OCALA, FL 34471-4620
(352) 368-1661
(352) 867-9497
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME111240
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004133900
—
FL
Enumeration date
10/24/2008
Last updated
04/03/2019
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