JOHN C GUTLEBER MD PA NPI 1720260060

NPI Information

JOHN C GUTLEBER MD PA is a specialist in Homestead, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. JOHN C GUTLEBER MD PA NPI is 1720260060. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

139 NE 15TH ST
HOMESTEAD, FL
ZIP 33030-508
Phone: (305) 247-1213
Fax: (305) 247-5701

The provider's authorized official is Maria E Gutleber .
The authorized official title is Office Manager and has the following contact phone number (305) 247-1213.

The enumeration date for this NPI number is 11/28/2007 and was last updated on 12/5/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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