Organization
MICHAEL J KUTRYB MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J KUTRYB M.D. (PHYSICIAN)
(321) 383-7888
Entity
Organization
Contact information
Practice address
730 S WASHINGTON AVE, TITUSVILLE, FL 32780-4232
(321) 267-2020
Mailing address
730 S WASHINGTON AVE, TITUSVILLE, FL 32780-4232
(321) 267-2020
(321) 267-4165
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME68787
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12051964
DATE OF BIRTH
FL
Enumeration date
03/20/2007
Last updated
02/03/2025
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