Individual
DR. MORRIS KUTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3058 HIGHLANDS BY THE LAKE WAY, #6, LAKELAND, FL 33812-5044
(863) 687-1321
Mailing address
102 S EVERS ST, SUITE 104, PLANT CITY, FL 33563-5403
(813) 754-7756
(813) 754-7565
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME005867
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0405441
EVERCARE
FL
05
—
054685200
—
FL
01
—
12375
BCBS
FL
01
—
380001598
MEDICARE RAILROAD
FL
01
—
423475
AETNA
—
Enumeration date
12/27/2006
Last updated
05/04/2017
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