Doctor Name: | MRS. PATRICIA M TUTOR |
NPI Number: | 1013103464 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CST |
License Number: | |
Business Practice Address: | 1106 Druid Rd S Suite 301 Clearwater, FL - 337563846 |
Business Phone Number: | 7274465681 |
Business Fax Number: | 7274616258 |
Mailing Address: | 1106 Druid Rd S, Suite 301 CLEARWATER |
State: | FL |
Postal Code: | 337563846 |
Phone Number: | 7274465681 |
Fax Number: | 7274616258 |
NPI Enumeration Date: | 09/19/2007 |
NPI Last Update Date: | 09/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |