GUTLEBER ADMINISTRATION INC NPI 1730602210

NPI Information

  • NPI: 1730602210
  • Provider Name: GUTLEBER ADMINISTRATION INC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 10D1106670
  • Address: 139 NE 15TH ST
    HOMESTEAD, FL
    ZIP 33030
  • Phone: (305) 247-1213

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NPI Details

GUTLEBER ADMINISTRATION INC is a general practice in Homestead, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee GUTLEBER ADMINISTRATION INC NPI is 1730602210. The provider is registered as an organization entity type and is a multi-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 Elena Gutleber .
The authorized official title is President and has the following contact phone number (305) 247-1213.

The CLIA number assigned to this NPI record is 10D1106670 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2017 and was last updated on 6/12/2019.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

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This page was last updated on: 11/21/2025

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