Victoriano Capio Gutierrez, MD | |
2120 Sarno Rd, Melbourne, FL 32935-3084 | |
(321) 241-6800 | |
(321) 241-6888 |
Full Name | Victoriano Capio Gutierrez |
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Gender | Male |
Speciality | Family Medicine |
Location | 2120 Sarno Rd, Melbourne, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124080692 | NPI | - | NPPES |
051848400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME59211 (Florida) | Primary |
Entity Name | Treasure Coast Medical Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992791198 PECOS PAC ID: 6608768122 Enrollment ID: O20040329000344 |
Entity Name | Florida Department Of Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396732541 PECOS PAC ID: 3072424282 Enrollment ID: O20100517000771 |
Mailing Address | Practice Location Address |
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Victoriano Capio Gutierrez, MD 5008 S. E. 42nd Trace, Okeechobee, FL 34974-1100 Ph: (863) 763-0464 | Victoriano Capio Gutierrez, MD 2120 Sarno Rd, Melbourne, FL 32935-3084 Ph: (321) 241-6800 |
Eugene E Wenthe Jr., M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1223 Gateway Dr Ste 1e, Melbourne, FL 32901 Phone: 321-725-4505 Fax: 321-409-6823 | |
Marta Cyzio, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1368 Tipperary Dr, Melbourne, FL 32940 Phone: 321-213-5625 | |
Dr. Judy Ann Mayor-davies, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2501 W New Haven Ave, Melbourne, FL 32904 Phone: 321-723-9411 Fax: 321-724-8749 | |
Dr. Sandra Ogata Keefe, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 6619 N Wickham Rd, Melbourne, FL 32940 Phone: 321-259-9500 | |
Alexandra Wolf-defigarelli, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771 Fax: 321-434-1775 | |
Dr. Shirmeej Singh, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771 Fax: 321-434-1775 | |
Angela Marie Armellini, APRN Family Medicine Medicare: Medicare Enrolled Practice Location: 6619 N Wickham Rd, Melbourne, FL 32940 Phone: 321-259-9500 |