=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922442508
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LAWRENCE RAMOS GUTIERREZ ARNP
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/25/2013
-----------------------------------------------------
Last Update Date | 11/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 515 WEKIVA COMMONS CIR
-----------------------------------------------------
City | APOPKA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32712-3645
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-464-9516
-----------------------------------------------------
Fax | 407-464-9519
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 515 WEKIVA COMMONS CIR
-----------------------------------------------------
City | APOPKA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32712-3645
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-464-9516
-----------------------------------------------------
Fax | 407-464-9519
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | F338395
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | ARNP9281426
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------