Individual
ANDREW GUTTILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 7TH ST N, NAPLES, FL 34102-5754
(239) 624-3997
(239) 624-8101
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MT217689
PA
208M00000X
Hospitalist Physician
Primary
ME165350
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120159200
—
FL
01
—
MT217689
TRAINING LICENSE
PA
01
—
UB7B
FL BCBS
FL
Enumeration date
05/22/2019
Last updated
11/21/2023
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