Individual
RICHARD L NUTT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME95431
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007307922
AETNA
FL
05
—
274989100
—
FL
01
—
53202
BCBS
FL
01
—
7118692
CIGNA
FL
01
—
P00420506
MEDICARE RAILROAD
FL
01
—
U7288Y
MEDICARE GTBA REASSIGN
FL
Enumeration date
11/18/2005
Last updated
01/06/2014
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