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Contact Information

BRETT CUTLER DPM PA
105 SOUTHPARK BLVD
SUITE A103
SAINT AUGUSTINE, FL32086-4162
 Phone: 904-824-0869
 Fax: 904-826-0966
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BRETT CUTLER DPM PA

NPI # 1194927640
LBN Legal business name BRETT CUTLER DPM PA
Authorized official BRETT CUTLER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/05/2007
Last updated 05/14/2008 - About 18 years ago
Identifiers
FL License # PO 2940
FL Medicaid 340202900
FL Other 4298427 AETNA
FL Other 21590 BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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