MEDICARE: CRISTIAN J. PRESUTTI, M.D.,P.L.,

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	ME71579	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00271437	OTHER	FL	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	32952	OTHER	FL	BCBS
2	3682336	OTHER	FL	CIGNA
4	F59353	OTHER	FL	VISTA

General Provider Information

NPI Number	:	1770630725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRISTIAN J. PRESUTTI, M.D.,P.L.,

Provider Business Mailing Address
First Line	:	2525 BURNS RD
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-5204
Country	:	US
Telephone Number	:	772-418-2196
Fax Number	:

Provider Business Practice Location Address
First Line	:	2525 BURNS RD
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-5204
Country	:	US
Telephone Number	:	772-418-2196
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CRISTIAN J PRESUTTI
Credential	:	MD
Telephone Number	:	772-398-9808

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	08/02/2024

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