Cutler, Brett

Cutler, Brett is an sole proprietor health care provider with primary practice located at 105 Southpark Blvd Ste A103, St Augustine FL 32086-4162. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Cutler, Brett can be contacted via phone (904) 824-0869.

Contact Information

Primary practice address
105 Southpark Blvd Ste A103 St Augustine FL 32086-4162
Phone: (904) 824-0869
Fax: (904) 826-0966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X P02940 Florida

Profile Details

NPI number 1710987805
LBN Legal business name Cutler, Brett
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2005
Last updated Jun 12th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710987805 NPPES
Florida MEDICAID 340202900
Florida Other 65716
Florida Other 4298427

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