MEDICARE: MR. SCOTT G. CUTLER 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	207T00000X	Neurological Surgery Physician	ME47544	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	30912	OTHER	FL	BCBS OF FLORIDA
2	4047872	OTHER	FL	AETNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689728289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SCOTT G. CUTLER M.D.

Provider Business Mailing Address
First Line	:	4321 N. MACDILL AVE
Second Line	:	SUITE 303
City	:	TAMPA
State	:	FL
Zip	:	33607-6390
Country	:	US
Telephone Number	:	813-874-9922
Fax Number	:	813-876-8881

Provider Business Practice Location Address
First Line	:	4321 N. MACDILL AVE
Second Line	:	SUITE 303
City	:	TAMPA
State	:	FL
Zip	:	33607-6390
Country	:	US
Telephone Number	:	813-874-9922
Fax Number	:	813-876-8881

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

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	08/05/2015

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