Individual
DR. ALI TUTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2550 US 1 S, ST AUGUSTINE, FL 32086-6194
(904) 823-8809
(904) 823-8851
Mailing address
3501B N. PONCE DE LEON BLVD, PMB 392, ST AUGUSTINE, FL 32084
(904) 823-8809
(904) 823-8851
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME85299
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264667600
—
FL
Enumeration date
05/24/2006
Last updated
03/16/2026
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