Individual
DR. JONATHAN NUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1344 22ND ST S, ST PETERSBURG, FL 33712-2744
(727) 824-8181
(727) 824-8137
Mailing address
PO BOX 10549, ST PETERSBURG, FL 33733-0549
(727) 824-8181
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME122802
FL
207VX0000X
Obstetrics Physician
ME122802
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015214000
—
FL
Enumeration date
07/29/2011
Last updated
03/15/2021
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