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Provider Information for 1497957567

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

MS. YAMECI GUTIERREZ PA-C

Gender: FEMALE

Individual NPI: 1497957567

Calendar   Last Updated:  2021-08-17
  Certification Date:  2021-08-17

Details

Name Value
NPI 1497957567
Enumeration Date 2007-06-01
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 3201 W WATERS AVE STE A&B
TAMPA, FL 33614-2879
United States

Phone: 813-932-7303 | Fax: 813-931-1552
View Map External Link
Primary Practice Address 3201 W WATERS AVE STE A&B
TAMPA, FL 33614-2879
United States

Phone: 813-915-0055 | Fax: 813-931-1552
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID FL 009452500
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 363A00000X - Physician Assistant FL PA9104133