Individual
DR. MICHAEL KUTRYB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0068787
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0499756
GHI
FL
01
—
180034420
RR MEDICARE
FL
01
—
27322
BCBS
FL
05
—
378367700
—
FL
01
—
6805869003
CIGNA
FL
Enumeration date
06/30/2006
Last updated
11/29/2022
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