Individual
ANUPAMA PRASHANTHI KUTADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4751 S CLEVELAND AVE, FORT MYERS, FL 33907-1317
(239) 343-9888
(239) 343-4260
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9888
(239) 343-4260
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301103984
MI
208000000X
Pediatrics Physician
Primary
ME165200
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120457000
—
FL
Enumeration date
06/19/2013
Last updated
01/05/2024
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