Individual
DR. EDWIN G GUTTERY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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