Individual
MR. DENVER D NUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6111 BEACH BLVD, JACKSONVILLE, FL 32216-2751
(904) 739-1140
(904) 722-9578
Mailing address
6111 BEACH BLVD, JACKSONVILLE, FL 32216-2751
(904) 739-1140
(904) 722-9578
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME74373
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1867789004
CIGNA
FL
01
—
43493
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/21/2005
Last updated
03/03/2017
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