Individual
IVETTE GUTTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(352) 978-3565
Mailing address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(352) 978-3565
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
266602
NY
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
ME115053
FL
208000000X
Pediatrics Physician
266602
NY
208000000X
Pediatrics Physician
ME115053
FL
Other
Enumeration date
06/01/2011
Last updated
10/20/2014
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