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Individual
DR. CLINTON C. PITTMAN
Active
Individual
DR. CLINTON C. PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
ME0064760
FL
2085R0202X
Diagnostic Radiology Physician
ME0064760
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME64760
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1159488
WELLCARE
FL
01
—
170612
SUNSHINE
FL
01
—
23826
BCBS
FL
05
—
375122800
—
FL
01
—
4602329
AETNA
FL
01
—
P01549711
MEDICARE RAILROAD
FL
Enumeration date
11/04/2005
Last updated
05/04/2016
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