Provider Demographics
NPI:1720095441
Name:CUTTLER, JAMES ROBERT (AUD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ROBERT
Last Name:CUTTLER
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13910 LAKESHORE BLVD
Mailing Address - Street 2:120
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667
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 2:120
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667
Practice Address - Country:US
Practice Address - Phone:727-862-3588
Practice Address - Fax:727-868-0414
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1013231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
K6052OtherMEDICARE ARP
FL532512Medicare ID - Type Unspecified