Individual
MR. ROBERT GORDON COUTU
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
2210 SE 17TH ST, SUITE 302, OCALA, FL 34471-9144
(352) 629-4509
Mailing address
3900 N EVERLASTING DR, BEVERLY HILLS, FL 34465-3335
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AL 1833
FL
Other
Enumeration date
04/04/2006
Last updated
07/08/2007
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