Provider Demographics
NPI:1215105671
Name:CUTTLER AUDIOLOGY INC
Entity type:Organization
Organization Name:CUTTLER AUDIOLOGY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:CUTTLER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:727-862-3588
Mailing Address - Street 1:13910 LAKESHORE BLVD
Mailing Address - Street 2:STE. 120
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667-1481
Mailing Address - Country:US
Mailing Address - Phone:727-862-3588
Mailing Address - Fax:727-868-0414
Practice Address - Street 1:13910 LAKESHORE BLVD
Practice Address - Street 2:STE. 120
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-1481
Practice Address - Country:US
Practice Address - Phone:727-862-3588
Practice Address - Fax:727-868-0414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1013231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS3251ZMedicare PIN