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GUTTERIDGE JEANCHARLES MD PA NPI 1558622068


NPI Information

NPI: 1558622068
Provider Name: GUTTERIDGE JEANCHARLES, MD, PA

Doing Business As: JC MEDICAL, INC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D2049601

Address:
1781 PARK CENTER DRIVE
SUITE 120
ORLANDO, FL
ZIP 32835
Phone: (407) 914-2325
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GUTTERIDGE JEANCHARLES, MD, PA is a primary care clinic center in Orlando, FL. GUTTERIDGE JEANCHARLES, MD, PA NPI is 1558622068. The provider is registered as an organization entity type.
The provider Is Doing Business As Jc Medical, Inc.

The provider's business location address is:

1781 PARK CENTER DRIVE
SUITE 120
ORLANDO, FL
ZIP 32835-245
Phone: (407) 914-2325
Fax: (407) 826-1592

The provider's authorized official is Gutteridge Jeancharles .
The authorized official title is President/ceo/medical Director and has the following contact phone number (407) 914-2325.

The CLIA number assigned to this NPI record is 10D2049601 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2012 and was last updated on 3/29/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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