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Organization
GLUTALITY PROVIDER GROUP OF CALIFORNIA PC
Active
Organization
GLUTALITY PROVIDER GROUP OF CALIFORNIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL STOTTLAND (OWNER)
(561) 678-2026
Entity
Organization
Contact information
Practice address
7250 REDWOOD BLVD STE 300, NOVATO, CA 94945-3269
(561) 678-2026
(561) 423-9249
Mailing address
401 FAIRWAY DR STE 200, DEERFIELD BEACH, FL 33441-1800
(561) 678-2026
(561) 423-9249
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/09/2023
Last updated
07/21/2025
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