Individual
DR. EDDY JOSE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1443 SAN MARCO BLVD STE 101, JACKSONVILLE, FL 32207-8535
(904) 253-6910
(904) 253-6964
Mailing address
1443 SAN MARCO BLVD STE 101, JACKSONVILLE, FL 32207-8535
(904) 253-6910
(904) 253-6964
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
84110
GA
207R00000X
Internal Medicine Physician
ME132154
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
84110
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME132154
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20495400
—
FL
Enumeration date
04/18/2012
Last updated
08/20/2025
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