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Individual

DR. KUNNIKA CHUTINAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
800 N HIGHWAY 434 STE 4, ALTAMONTE SPRINGS, FL 32714-7041
(407) 682-6612
(407) 862-9616
Mailing address
800 N HIGHWAY 434 STE 4, ALTAMONTE SPRINGS, FL 32714-7041
(407) 682-6612
(407) 862-9616

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME23494
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11687
HEALTHEASE MEDICAID
FL
01
246612
STAYWELL MEDICAID
FL
01
288954
AETNA HMO
FL
01
4218436
AETNA PPO
FL
01
48737
BCBS
FL
05
51369500
FL
01
D55421
UPIN
FL
Enumeration date
08/11/2005
Last updated
03/25/2015
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