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NPI Code Detail

MEDICARE: MR. WILLIAM NUTOVITS M.D.

MEDICARE: MR. WILLIAM NUTOVITS 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 PhysicianME 69099PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770693442
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM NUTOVITS M.D.
Provider Business Mailing Address
First Line : 5035 VIA DELRAY STE 2
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33484-1315
Country : US
Telephone Number : 561-330-0111
Fax Number :
Provider Business Practice Location Address
First Line : 5035 VIA DELRAY STE 2
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33484-1315
Country : US
Telephone Number : 561-330-0111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 06/04/2021

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Directions to “ MR. WILLIAM NUTOVITS M.D.” Practice Location

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