MEDICARE: DR. BRYAN SCUTERI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME141518	FL
2	207QS1201X	Sleep Medicine (Family Medicine) Physician	ME141518	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME141518	OTHER	FL	MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184011355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRYAN SCUTERI M.D.

Provider Business Mailing Address
First Line	:	2995 DREW ST FL 2
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33759-3012
Country	:	US
Telephone Number	:	727-532-0002
Fax Number	:

Provider Business Practice Location Address
First Line	:	13670 WALSINGHAM RD
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33774-3532
Country	:	US
Telephone Number	:	727-593-9848
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2015
Last Update Date	:	06/04/2026

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