Organization
IDEAL IMAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA NOEL GAUTIER ARNP (TREATMENT PROVIDER)
(305) 507-3461
Entity
Organization
Contact information
Practice address
330 SAN LORENZO AVE, 2345, CORAL GABLES, FL 33146-1846
(305) 507-3461
(305) 774-6624
Mailing address
330 SAN LORENZO AVE, 2345, CORAL GABLES, FL 33146-1846
(305) 507-3461
(305) 774-6624
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
9196713
FL
Other
Enumeration date
02/27/2015
Last updated
02/27/2015
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