Individual
MR. DANIEL TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, LCSW
Contact information
Practice address
2595 TAMPA RD STE H, PALM HARBOR, FL 34684
(727) 509-3760
Mailing address
2595 TAMPA RD STE H, PALM HARBOR, FL 34684-3130
(727) 509-3760
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
14564
FL
1041C0700X
Clinical Social Worker
CSW004131
GA
1041C0700X
Clinical Social Worker
LC11454
ME
111N00000X
Chiropractor
Primary
12257
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428288946C
—
GA
05
—
432058399
—
ME
01
—
VX0090
MEDICARE PTAN
GA
Enumeration date
01/14/2008
Last updated
07/26/2018
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