Individual
IAN CLOUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2242 SE 17TH AVE, HOMESTEAD, FL 33035-2263
(757) 955-0804
Mailing address
2242 SE 17TH AVE, HOMESTEAD, FL 33035-2263
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9576904
FL
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN9576904
FL
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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