Individual
DR. EDWIN G GUTTERY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9350 CAMELOT DR, FORT MYERS, FL 33919-7980
(239) 481-5437
(239) 481-1902
Mailing address
13740 CYPRESS TERRACE CIR, FORT MYERS, FL 33907-8827
(239) 275-5522
(239) 275-4464
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME15966
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000013683B
HUMANA
FL
05
—
054034000
—
FL
01
—
212078
AVMED
FL
01
—
27098
STAYWELL
FL
01
—
36195
BC/BS OF FLORIDA
FL
Enumeration date
11/15/2005
Last updated
11/07/2008
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