Alsina Gutierrez, Jennifer

Alsina Gutierrez, Jennifer is an individual health care provider with primary practice located at 2400 Kathleen Rd , Lakeland FL 33810-3077. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Alsina Gutierrez, Jennifer can be contacted via phone (863) 284-5000.

Contact Information

Primary practice address
2400 Kathleen Rd Lakeland FL 33810-3077
Phone: (863) 284-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9116087 Florida

Profile Details

NPI number 1003447038
LBN Legal business name Alsina Gutierrez, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2020
Last updated Mar 22nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003447038 NPPES
Florida MEDICAID 114919700
Florida Other VB56H

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