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Individual

MICHELLE VILLANUEVA GUTIERREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 662-8357
Mailing address
420 NW 166TH AVE, PEMBROKE PINES, FL 33028-1403

Taxonomy

Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
9111144
FL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
PA9111144
FL
363A00000X
Physician Assistant
9111144
FL

Other

Enumeration date
03/12/2018
Last updated
03/23/2024
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