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Organization

GUTLEBER MEDICAL GROUP, INC

Active
Parent organization
JOHN C GUTLEBER MD PA
Other names
Gutleber Medical Group
Organization subpart
Yes

Provider details

NPI number
Legal business name
JOHN C GUTLEBER MD PA
Authorized official
MARIA ELENA GUTLEBER (PRESIDENT)
(305) 323-7455
Entity
Organization

Contact information

Practice address
139 NE 15TH ST, HOMESTEAD, FL 33030-4508
(305) 247-1213
(305) 247-1213
Mailing address
139 NE 15TH ST, HOMESTEAD, FL 33030-4508
(305) 247-1213

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
05/22/2017
Last updated
12/03/2021
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