GUTLEBER MEDICAL GROUP INC NPI 1770010753

NPI Information

NPI: 1770010753
Provider Name: GUTLEBER MEDICAL GROUP, INC

Doing Business As: GUTLEBER MEDICAL GROUP

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
139 NE 15TH ST
HOMESTEAD, FL
ZIP 33030
Phone: (305) 247-1213
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GUTLEBER MEDICAL GROUP, INC is a multi-specialty clinic center in Homestead, FL. GUTLEBER MEDICAL GROUP, INC NPI is 1770010753. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Gutleber Medical Group.

The provider's business location address is:

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

The provider's authorized official is Maria Elena Gutleber .
The authorized official title is President and has the following contact phone number (305) 323-7455.

The enumeration date for this NPI number is 5/22/2017 and was last updated on 12/3/2021.

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
1	207Q00000X	Family Medicine				No
2	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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