Provider Demographics
NPI:1376338954
Name:GUTMAN, IVANA M (DO)
Entity type:Individual
Prefix:
First Name:IVANA
Middle Name:M
Last Name:GUTMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14226 SAHALEE LN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-8254
Mailing Address - Country:US
Mailing Address - Phone:772-924-8400
Mailing Address - Fax:
Practice Address - Street 1:14226 SAHALEE LN
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-8254
Practice Address - Country:US
Practice Address - Phone:772-924-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program