# DR. MICHAEL KUTRYB

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1649209115
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME0068787 | FL | Yes |

## Other

- **Enumeration date:** 06/30/2006
- **Last updated:** 11/29/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0499756 | GHI | FL |
| 01 | — | 180034420 | RR MEDICARE | FL |
| 01 | — | 27322 | BCBS | FL |
| 05 | — | 378367700 | — | FL |
| 01 | — | 6805869003 | CIGNA | FL |