Healthcare Provider Details

I. General information

NPI: 1144624669
Provider Name (Legal Business Name): ADRIAN CUTTER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2014
Last Update Date: 10/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2508 SW 35TH PL APT 57
GAINESVILLE FL
32608-3251
US

IV. Provider business mailing address

2508 SW 35TH PL APT 57
GAINESVILLE FL
32608-3251
US

V. Phone/Fax

Practice location:
  • Phone: 972-302-3291
  • Fax:
Mailing address:
  • Phone: 972-302-3291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberRT 13462
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: