Organization Name: | DUNDEE MEDICAL WALK-IN CLINIC |
NPI Number: | 1710074497 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MOHAN KUTTY (DOCTOR) |
Mailing Address: | 28055 Highway 27 South Dundee |
State: | FL US |
Postal Code: | 33838 |
Phone Number: | 8634397377 |
Fax Number: | 8634395452 |
NPI Enumeration Date: | 10/06/2006 |
NPI Last Update Date: | 03/26/2014 |
Replacement NPI: | 0 |
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NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
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