MEDICARE: ALAN R KUTNER MD

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	207R00000X	Internal Medicine Physician	ME32823	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265438386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN R KUTNER MD

Provider Business Mailing Address
First Line	:	1801 NE 123RD ST
Second Line	:	STE 405
City	:	NORTH MIAMI
State	:	FL
Zip	:	33181-2884
Country	:	US
Telephone Number	:	305-674-5925
Fax Number	:	305-674-5927

Provider Business Practice Location Address
First Line	:	4300 ALTON RD
Second Line	:	STE 810
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-2800
Country	:	US
Telephone Number	:	305-674-5925
Fax Number	:	305-674-5927

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

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	06/17/2020

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Directions to “ ALAN R KUTNER MD” Practice Location

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