Provider Demographics
NPI:1821680893
Name:GUTIERREZ CANDELARIO, ZOILAMIS (NP-C)
Entity type:Individual
Prefix:
First Name:ZOILAMIS
Middle Name:
Last Name:GUTIERREZ CANDELARIO
Suffix:
Gender:
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 N HIMES AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-2112
Mailing Address - Country:US
Mailing Address - Phone:813-888-8215
Mailing Address - Fax:813-885-5398
Practice Address - Street 1:2601 N HIMES AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-2112
Practice Address - Country:US
Practice Address - Phone:813-873-8071
Practice Address - Fax:813-877-4031
Is Sole Proprietor?:No
Enumeration Date:2021-02-10
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11011582363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily