Doctor Name: | DR. LUIS FERNANDO GUTIERREZ |
NPI Number: | 1003911975 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME94423 |
Business Practice Address: | 10000 W Sample Rd Coral Springs, FL - 330653936 |
Business Phone Number: | 9543468800 |
Business Fax Number: | 9543468280 |
Mailing Address: | 10000 W Sample Rd, CORAL SPRINGS |
State: | FL |
Postal Code: | 330653936 |
Phone Number: | 9543468800 |
Fax Number: | 9543468280 |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 02/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | ME94423 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |