Gutierrez, Roland Fernandez
Gutierrez, Roland Fernandez is an sole proprietor health care provider with primary practice located at 1025 Military Trl Ste 109 , Jupiter FL 33458-7040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gutierrez, Roland Fernandez can be contacted via phone (561) 741-0000.Contact Information
Primary practice address
1025 Military Trl Ste 109
Jupiter FL 33458-7040
Phone: (561) 741-0000
Fax: (561) 741-0002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME88888 | Florida |
Profile Details
| NPI number | 1255436390 |
|---|---|
| LBN Legal business name | Gutierrez, Roland Fernandez |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1255436390 | NPPES |
| Florida | MEDICAID | 268797600 |
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