Individual
MICHAEL M GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7652 ASHLEY PARK CT, SUITE 305, ORLANDO, FL 32835
(407) 299-7333
(407) 293-2049
Mailing address
7652 ASHLEY PARK CT, SUITE 305, ORLANDO, FL 32835
(407) 299-7333
(407) 293-2049
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME50355
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03731
BCBS OF FL
FL
05
—
064788800
—
FL
Enumeration date
06/22/2006
Last updated
07/31/2023
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