Provider Demographics
NPI:1063485456
Name:CUTOLO, EDWARD PHILIP JR (MD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:PHILIP
Last Name:CUTOLO
Suffix:JR
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:12219 FORT KING HWY
Mailing Address - Street 2:
Mailing Address - City:THONOTOSASSA
Mailing Address - State:FL
Mailing Address - Zip Code:33592-2703
Mailing Address - Country:US
Mailing Address - Phone:813-784-8552
Mailing Address - Fax:
Practice Address - Street 1:1720 FRUITLAND DR
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32725-4594
Practice Address - Country:US
Practice Address - Phone:813-784-8552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0072574207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine