Provider Demographics
NPI:1326136391
Name:CUTLER, SETH B (MD)
Entity Type:Individual
Prefix:
First Name:SETH
Middle Name:B
Last Name:CUTLER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:P.O. BOX 39209
Mailing Address - Street 2:STE 14
Mailing Address - City:FT. LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33339
Mailing Address - Country:US
Mailing Address - Phone:954-851-9966
Mailing Address - Fax:954-318-7360
Practice Address - Street 1:2500 N. UNIVERSITY DR.
Practice Address - Street 2:STE. #14
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33322
Practice Address - Country:US
Practice Address - Phone:954-748-7755
Practice Address - Fax:954-748-7760
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2021-03-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME0036597207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL407181028OtherRAIL ROAD MEDICARE
FL053439100Medicaid
FL592213789OtherAETNA
FL592213789OtherCIGNA
FL592213789OtherUNITED
FL93833OtherBLUE CROSS BLUE SHEILD
FL407181028OtherRAIL ROAD MEDICARE
FL053439100Medicaid
FL93833Medicare PIN