Individual
IRA GUTTENTAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14547 BRUCE B DOWNS BLVD, SUITE C, TAMPA, FL 33613
(813) 979-0440
(813) 355-5054
Mailing address
38135 MARKET SQUARE, ZEPHYRHILLS, FL 33542
(813) 528-4975
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME62562
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200031495
RR MEDICARE
FL
05
—
371148000
—
FL
Enumeration date
08/31/2006
Last updated
09/01/2021
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