Healthcare Provider Details

I. General information

NPI: 1710074497
Provider Name (Legal Business Name): DUNDEE MEDICAL WALK-IN CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 03/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28055 HIGHWAY 27 SOUTH
DUNDEE FL
33838
US

IV. Provider business mailing address

28055 HIGHWAY 27 SOUTH
DUNDEE FL
33838
US

V. Phone/Fax

Practice location:
  • Phone: 863-439-7377
  • Fax: 863-439-5452
Mailing address:
  • Phone: 863-439-7377
  • Fax: 863-439-5452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MOHAN KUTTY
Title or Position: DOCTOR
Credential: M.D.
Phone: 863-439-7377