Individual
DR. MITCH C TUTTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4207
(904) 702-6111
Mailing address
5767 W CENTURY BLVD, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101278607
VA
2085R0202X
Diagnostic Radiology Physician
2014014264
MO
2085R0202X
Diagnostic Radiology Physician
83531
GA
2085R0202X
Diagnostic Radiology Physician
A154101
CA
2085R0202X
Diagnostic Radiology Physician
Primary
ME141405
FL
Other
Enumeration date
07/27/2014
Last updated
12/18/2025
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