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Individual

ANIET MANENT GUTIERREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
14875 NW 77TH AVE STE 100, MIAMI LAKES, FL 33014-2568
(305) 351-7020
(305) 827-8563
Mailing address
10794 N KENDALL DR APT B2, MIAMI, FL 33176-1418
(786) 803-5363

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
TRN37416
FL
208D00000X
General Practice Physician
Primary
ACN1523
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
023316200
FL
Enumeration date
05/07/2018
Last updated
05/14/2024
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