Organization
JOHN C GUTLEBER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA E GUTLEBER (OFFICE MANAGER)
(305) 247-1213
Entity
Organization
Contact information
Practice address
139 NE 15TH ST, HOMESTEAD, FL 33030-4508
(305) 247-1213
(305) 247-5701
Mailing address
139 NE 15TH ST, HOMESTEAD, FL 33030-4508
(305) 247-1213
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME70290
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002435404
UNITED HEALTH CARE
FL
01
—
1012734
CAREPLUS
FL
01
—
245462
WELLCARE
FL
05
—
250356500
—
FL
01
—
279472
AVMED
FL
01
—
31716
BCBS
FL
01
—
43136
NEIGHBORHOOD HEALTH
FL
01
—
591593951
STAYWELL
FL
01
—
7466251
AETNA
FL
Enumeration date
11/28/2007
Last updated
12/05/2014
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