Gutale, Ilyas

Gutale, Ilyas is an individual health care provider with primary practice located at 600 E Dixie Ave , Leesburg FL 34748-5925. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Gutale, Ilyas can be contacted via phone (352) 323-5762.

Contact Information

Primary practice address
600 E Dixie Ave Leesburg FL 34748-5925
Phone: (352) 323-5762
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA053832 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 54636 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1776 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA 9105989 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X PA1776 Nevada

Profile Details

NPI number 1497993802
LBN Legal business name Gutale, Ilyas
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2009
Last updated Jun 26th, 2024 - about last year

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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