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Individual

BERNARDO A GUTIERREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
14075 TOWN LOOP BLVD, ORLANDO, FL 32837-6132
(407) 438-5858
(407) 387-1724
Mailing address
PO BOX 616788, ORLANDO, FL 32861-6788
(407) 533-6837
(407) 770-0661

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME141745
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104818600
FL
01
LZ370
MEDICARE
FL
Enumeration date
05/05/2006
Last updated
11/29/2021
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