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NPI Code Detail

MEDICARE: FELIX GUTIERREZ L.M.T.

MEDICARE: FELIX GUTIERREZ L.M.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMA 60510FL

General Provider Information

NPI Number : 1922395953
Entity Type Code : Individual
Provider Name (Legal Business Name) : FELIX GUTIERREZ L.M.T.
Provider Business Mailing Address
First Line : 5924 29TH AVE W
Second Line :
City : BRADENTON
State : FL
Zip : 34209-7003
Country : US
Telephone Number : 941-592-4853
Fax Number :
Provider Business Practice Location Address
First Line : 5924 29TH AVE W
Second Line :
City : BRADENTON
State : FL
Zip : 34209-7003
Country : US
Telephone Number : 941-592-4853
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2011
Last Update Date : 06/28/2011

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