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Individual

JOSE G GUTIERREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
12963 W OKEECHOBEE RD, HIALEAH GARDENS, FL 33018-6055
(305) 698-1922
Mailing address
221 NW 136TH AVE, MIAMI, FL 33182-1902
(305) 698-1922

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
FL

Other

Enumeration date
10/19/2006
Last updated
07/08/2007
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