NPI 1093064396

Gutleber Cosmetic Surgical Institute INC

Organisation Specialist Homestead, FL

Practice location

Address: 139 NE 15th St, Homestead, FL 33030-4508
Phone: (305) 247-1213
Fax: (305) 247-5701

Authorised official

Name: Maria Gutleber
Title: Administrator
Phone: (305) 247-1213

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 0SR854 (FL)

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Registry record

NPI: 1093064396
Entity type: Organization
NPI issued: 31 Aug 2012
Record last updated: 31 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.