Individual
DR. BRETT GUTTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 200-2355
Mailing address
2600 WESTHALL LN FL 4, MAITLAND, FL 32751-7102
(407) 200-2355
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
69415
GA
2085R0202X
Diagnostic Radiology Physician
Primary
ME115128
FL
390200000X
Student in an Organized Health Care Education/Training Program
004043
GA
390200000X
Student in an Organized Health Care Education/Training Program
MT193506
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009016700
—
FL
01
—
14Q09
BC/BS
FL
Enumeration date
06/21/2008
Last updated
04/11/2016
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