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NPI Code Detail

MEDICARE: MARA TUTUS M.D.

MEDICARE:   MARA  TUTUS  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
1207R00000XInternal Medicine PhysicianME65116FL

General Provider Information

NPI Number : 1518040492
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARA TUTUS M.D.
Provider Business Mailing Address
First Line : 810 LUCERNE TER
Second Line :
City : ORLANDO
State : FL
Zip : 32801-3731
Country : US
Telephone Number : 407-841-7730
Fax Number : 407-841-7660
Provider Business Practice Location Address
First Line : 810 LUCERNE TER
Second Line :
City : ORLANDO
State : FL
Zip : 32801-3731
Country : US
Telephone Number : 407-841-7730
Fax Number : 407-841-7660
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2006
Last Update Date : 07/08/2007

Similar Medicare Providers

1639486350 — MARA TUTUS MD PA
Practice Location Address:
810 LUCERNE TER
ORLANDO, FL
32801-3731
Practice Phone: 407-841-7730
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Directions to “ MARA TUTUS M.D.” Practice Location

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