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NPI Code Detail

MEDICARE: DANIEL ALEJANDRO GUTIERREZ RPAC

MEDICARE:   DANIEL ALEJANDRO GUTIERREZ  RPAC
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
1363A00000XPhysician AssistantPA9111265FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295126464
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL ALEJANDRO GUTIERREZ RPAC
Provider Business Mailing Address
First Line : 900 VILLAGE SQUARE XING STE 290
Second Line :
City : PALM BCH GDNS
State : FL
Zip : 33410-4552
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7765 144TH ST UNIT 1
Second Line :
City : SEBASTIAN
State : FL
Zip : 32958-3206
Country : US
Telephone Number : 772-388-3551
Fax Number : 772-388-3557
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2015
Last Update Date : 03/22/2023

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Directions to “ DANIEL ALEJANDRO GUTIERREZ RPAC” Practice Location

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