Jutton, Jerrilyn M

Jutton, Jerrilyn M is an sole proprietor health care provider with primary practice located at 3601 Sw 160Th Ave Suite 250, Miramar FL 33027-6308. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Jutton, Jerrilyn M can be contacted via phone (877) 866-7123.

Contact Information

Primary practice address
3601 Sw 160Th Ave Suite 250 Miramar FL 33027-6308
Phone: (877) 866-7123
Fax: (855) 855-2792
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X D38829 Maryland
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D38829 Maryland

Profile Details

NPI number 1548262330
LBN Legal business name Jutton, Jerrilyn M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2005
Last updated Jan 29th, 2016 - about 8 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 1548262330 NPPES
Other 354900 MAMSI
Other 3962433 MAMSI
Other 5484285 MAMSI
Other 0001 MAMSI
Other 609963600 MAMSI
Other 42543903 MAMSI
Other 224963 MAMSI

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