Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | LMT#41496 | FL |
NPI | 1437455342 |
---|---|
Provider Name | Carla Cutter |
First Address | Jacksonville Beach, FL 32250-5201 |
Second Address | Jacksonville Beach, FL 32250-5201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2011 |
Last Update Date | 10/02/2011 |