Individual
CARLOS GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8233 DRYCREEK DR, TAMPA, FL 33615-1207
(813) 833-6700
Mailing address
5613 HALIFAX DR, TAMPA, FL 33615-4118
(813) 833-6700
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
FL
310400000X
Assisted Living Facility
—
—
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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