Lopez-Gutierrez, Jose L

Lopez-Gutierrez, Jose L is an individual health care provider with primary practice located at 8911 Daniels Pkwy Ste 7 , Fort Myers FL 33912-0872. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lopez-Gutierrez, Jose L can be contacted via phone (239) 939-2200.

Contact Information

Primary practice address
8911 Daniels Pkwy Ste 7 Fort Myers FL 33912-0872
Fax: (239) 939-2204
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME92874 Florida

Profile Details

NPI number 1710947940
LBN Legal business name Lopez-Gutierrez, Jose L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Oct 14th, 2009 - about 15 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 1710947940 NPPES
Florida Other 38626 BS GROUP
Florida Other 28726 BS GROUP
Florida MEDICAID 274165200 BS GROUP

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