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Individual

DR. T TERRY CHUTINAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 N STATE ROAD 434, SUITE 4, ALTAMONTE SPRINGS, FL 32714-7041
(407) 862-4242
(407) 862-9616
Mailing address
800 N STATE ROAD 434, SUITE 4, ALTAMONTE SPRINGS, FL 32714-7041
(407) 862-4242
(407) 862-9616

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME23398
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051371700
FL
01
48736
BCBS
FL
Enumeration date
07/07/2006
Last updated
12/30/2014
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