MEDICARE: GOOD LISTENER MEDICAL CENTER, LLC

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
1	261QP2300X	Primary Care Clinic/Center
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1437908472
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOOD LISTENER MEDICAL CENTER, LLC

Provider Business Mailing Address
First Line	:	1761 NW 123RD AVE
Second Line	:
City	:	PEMBROKE PNES
State	:	FL
Zip	:	33026-3824
Country	:	US
Telephone Number	:	786-890-0799
Fax Number	:	754-221-0387

Provider Business Practice Location Address
First Line	:	1761 NW 123RD AVE
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33026-3824
Country	:	US
Telephone Number	:	786-890-0799
Fax Number	:

Authorized Official
Title or Position	:	PRIMARY CARE PROVIDER
Name	:	DR. ANDRES MICHEL GUTIERREZ
Credential	:	MD
Telephone Number	:	786-890-0799

Provider Enumeration Date	:	05/14/2024
Last Update Date	:	04/02/2026

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Directions to “GOOD LISTENER MEDICAL CENTER, LLC ” Practice Location

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