Healthcare Provider Details

I. General information

NPI: 1235128059
Provider Name (Legal Business Name): ADAM CUTLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2005
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 AMENDMENT AVE STE 102
ROCK HILL SC
29732-3036
US

IV. Provider business mailing address

900 S PINE ISLAND RD STE 800
PLANTATION FL
33324-3920
US

V. Phone/Fax

Practice location:
  • Phone: 803-329-2700
  • Fax: 803-329-2788
Mailing address:
  • Phone: 561-477-7700
  • Fax: 561-477-7707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME74514
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number90350
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: