Organization
IDEAL IMAGE
Active
Organization
IDEAL IMAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA GAUTIER ARNP (FAMILY NURSE PRACTITIONER)
(305) 507-3461
Entity
Organization
Contact information
Practice address
330 SAN LORENZO AVE, CORAL GABLES, FL 33146-1846
(305) 507-3461
Mailing address
330 SAN LORENZO AVE, CORAL GABLES, FL 33146-1846
(305) 507-3461
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ARNP9196713
FL
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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