Individual
JUAN M GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
280 WESTWARD DR, MIAMI SPRINGS, FL 33166-5260
(786) 301-0744
(786) 685-2122
Mailing address
280 WESTWARD DR, MIAMI SPRINGS, FL 33166-5260
(786) 391-0744
(786) 685-2122
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM0102789
FL
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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