Individual
RONALD M TUTTELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1880 E COMMERCIAL BLVD, SUITE 4, FORT LAUDERDALE, FL 33308-3747
(954) 776-4395
(954) 776-3637
Mailing address
1880 E COMMERCIAL BLVD, SUITE 4, FORT LAUDERDALE, FL 33308-3747
(954) 776-4395
(954) 776-3637
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME36525
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036898900
—
FL
01
—
203489
AVMED ID
FL
01
—
592102560
TAX ID
FL
Enumeration date
02/15/2007
Last updated
07/09/2007
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