Organization
ROBERT S CUTLER DO PA
Active
Organization
ROBERT S CUTLER DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERI SHANNON GRISSO ARNP (PRACTICE ADMINISTRATOR)
(561) 842-5050
Entity
Organization
Contact information
Practice address
13005 SOUTHERN BLVD STE 122, MEDICAL MALL ONE, SUITE 122, LOXAHATCHEE, FL 33470-9231
(561) 842-5050
(561) 793-9989
Mailing address
13005 SOUTHERN BLVD STE 122, MEDICAL MALL ONE, SUITE 122, LOXAHATCHEE, FL 33470-9231
(561) 842-5050
(561) 793-9989
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
OS5469
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80092B
BCBS
FL
Enumeration date
06/17/2006
Last updated
09/24/2012
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