Individual
ALEXANDER FABIO GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
11375 CORTEZ BLVD, BROOKSVILLE, FL 34613-5409
(352) 592-2753
(352) 592-2753
Mailing address
11375 CORTEZ BLVD, BROOKSVILLE, FL 34613-5409
(352) 579-2753
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TRN25341
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2017
Last updated
07/02/2020
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