MEDICARE: MICHAEL S JUTTE A.R.N.P.

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	363L00000X	Nurse Practitioner	5006793	NC
2	363L00000X	Nurse Practitioner	ARNP 2970352	FL
3	207K00000X	Allergy & Immunology Physician	ME2970352	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710970454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL S JUTTE A.R.N.P.

Provider Business Mailing Address
First Line	:	1117 N OLIVE AVE
Second Line	:	SUITE #202
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-3520
Country	:	US
Telephone Number	:	561-655-4450
Fax Number	:	561-655-4469

Provider Business Practice Location Address
First Line	:	1117 N OLIVE AVE
Second Line	:	SUITE #202
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-3520
Country	:	US
Telephone Number	:	561-655-4450
Fax Number	:	561-655-4469

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

Provider Enumeration Date	:	08/29/2005
Last Update Date	:	04/25/2025

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Directions to “ MICHAEL S JUTTE A.R.N.P.” Practice Location

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