Gutierrez, Luis Fernando
Gutierrez, Luis Fernando is an sole proprietor health care provider with primary practice located at 9690 W Sample Rd Ste 101 , Coral Springs FL 33065-4031. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gutierrez, Luis Fernando can be contacted via phone (954) 346-8800.Contact Information
Primary practice address
9690 W Sample Rd Ste 101
Coral Springs FL 33065-4031
Phone: (954) 346-8800
Fax: (954) 346-8280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | ME94423 | Florida |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME94423 | Florida |
Profile Details
| NPI number | 1003911975 |
|---|---|
| LBN Legal business name | Gutierrez, Luis Fernando |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Apr 13th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003911975 | NPPES |
| Florida | MEDICAID | 000052500 | |
| Florida | Other | 921426220995003 | |
| Florida | Other | 10D0722060 | |
| Florida | Other | 11936941 | |
| Florida | Other | ME94423 |
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