MEDICARE: DAVID GUTTMAN M.D.

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	208000000X	Pediatrics Physician	ME61294	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1811968910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID GUTTMAN M.D.

Provider Business Mailing Address
First Line	:	6405 JAMAICA CT
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32309-2401
Country	:	US
Telephone Number	:	850-893-4529
Fax Number	:

Provider Business Practice Location Address
First Line	:	2416 E PLAZA DR
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-5301
Country	:	US
Telephone Number	:	850-877-7123
Fax Number	:	850-878-7036

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2006
Last Update Date	:	10/01/2009

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