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Organization

RONALD M TUTTELMAN MDPA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RONALD M TUTTELMAN MD (OWNER)
(954) 776-4395
Entity
Organization

Contact information

Practice address
1880 E COMMERCIAL BLVD, SUITE 4, FORT LAUDERDALE, FL 33308-3747
(954) 776-4395
(954) 776-3637
Mailing address
1880 E COMMERCIAL BLVD, SUITE 4, FORT LAUDERDALE, FL 33308-3747
(954) 776-4395
(954) 776-3637

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME36525
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036898900
FL
Enumeration date
12/13/2012
Last updated
12/13/2012
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