| John C Gutleber Md | |
|
139 Ne 15th St Homestead FL 33030-4508 | |
| (305) 247-1213 | |
| (305) 247-5701 |
| Full Name | John C Gutleber Md |
|---|---|
| Speciality | Family Medicine |
| Location | 139 Ne 15th St, Homestead, Florida |
| Authorized Official Name and Position | John C Gutleber (PHYSICIAN) |
| Authorized Official Contact | 3052471213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John C Gutleber Md 139 Ne 15th St Homestead FL 33030-4508 Ph: (305) 247-1213 | John C Gutleber Md 139 Ne 15th St Homestead FL 33030-4508 Ph: (305) 247-1213 |
| NPI Number | 1467990531 |
|---|---|
| Provider Enumeration Date | 02/08/2017 |
| Last Update Date | 02/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467990531 | NPI | - | NPPES |
| 250356500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME70290 (Florida) | Primary |
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