| Gutierrez-perez Family Medicine | |
|
907a N Central Ave Kissimmee FL 34741-5029 | |
| (407) 846-2050 | |
| (407) 846-0338 |
| Full Name | Gutierrez-perez Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 907a N Central Ave, Kissimmee, Florida |
| Authorized Official Name and Position | Enrique G. Gutierrez (PRESIDENT) |
| Authorized Official Contact | 4078911931 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gutierrez-perez Family Medicine 1914 Sir Lancelot Cir Saint Cloud FL 34772-7017 Ph: (407) 891-1931 | Gutierrez-perez Family Medicine 907a N Central Ave Kissimmee FL 34741-5029 Ph: (407) 846-2050 |
| NPI Number | 1457559221 |
|---|---|
| Provider Enumeration Date | 07/03/2007 |
| Last Update Date | 09/23/2007 |
| Medicare PECOS PAC ID | 4284722331 |
|---|---|
| Medicare Enrollment ID | O20071127000007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457559221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Enrique G Gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407951304 PECOS PAC ID: 7517952450 Enrollment ID: I20041230000344 |
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