Organization
CUTTING EDGE MEDICAL GR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD D FISHER D.O. (OWNER)
(954) 776-3415
Entity
Organization
Contact information
Practice address
2425 E COMMERCIAL BLVD, SUITE 200, FORT LAUDERDALE, FL 33308-4034
(954) 776-3415
(954) 776-3417
Mailing address
2425 E COMMERCIAL BLVD, SUITE 200, FORT LAUDERDALE, FL 33308-4034
(954) 776-3415
(954) 776-3417
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS0003995
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82312
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
03/13/2007
Last updated
08/22/2020
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