Organization
T. TERRY CHUTINAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. T. TERRY CHUTINAN M.D., P.A. (PHYSICIAN/OWNER)
(407) 862-4242
Entity
Organization
Contact information
Practice address
800 N HIGHWAY 434, SUITE 4, ALTAMONTE SPRINGS, FL 32714-7041
(407) 862-4242
Mailing address
800 N HIGHWAY 434, SUITE 4, ALTAMONTE SPRINGS, FL 32714-7041
(407) 862-4242
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME23398
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051371700
—
FL
01
—
48736
BCBS
FL
Enumeration date
10/03/2007
Last updated
05/13/2010
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