Organization
BRETT CUTLER DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT CUTLER D.P.M. (PRESIDENT)
(904) 824-0869
Entity
Organization
Contact information
Practice address
105 SOUTHPARK BLVD, SUITE A103, ST AUGUSTINE, FL 32086-4162
(904) 824-0869
(904) 826-0966
Mailing address
105 SOUTHPARK BLVD, SUITE A103, ST AUGUSTINE, FL 32086-4162
(904) 824-0869
(904) 826-0966
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 2940
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21590
BLUE SHIELD
FL
05
—
340202900
—
FL
01
—
4298427
AETNA
FL
Enumeration date
06/05/2007
Last updated
05/14/2008
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