Alberto R Gutierrez III, DO
Family Medicine, Sports Medicine in Land O Lakes, FL. Individual provider (NPI-1).
NPI number1386014652
StatusActive
Last updated in NPPESJun 8, 2022
Details
- NPI
- 1386014652
- Entity type
- Individual (NPI-1)
- Name
- Alberto R Gutierrez III
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2015
- Certification date
- Jun 8, 2022
- Last updated
- Jun 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QS0010X | Family Medicine, Sports Medicine | OS13967 | FL | Yes |
| 207Q00000X | Family Medicine | uo4229 | FL |
Practice location
2100 Via Bella Blvd Ste 204Land O Lakes, FL 34639-5429
Phone 813-751-3636 · Fax 813-377-1678
Mailing address
38135 Market SqZephyrhills, FL 33542-7505
Phone 352-567-0188 · Fax 813-355-5101
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