Provider Demographics
NPI:1982780839
Name:CUTLER, CATHY GORDON (ARNP)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:GORDON
Last Name:CUTLER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:CATHY
Other - Middle Name:SUE
Other - Last Name:GORDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:235 N WESTMONTE DR
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-3345
Mailing Address - Country:US
Mailing Address - Phone:407-389-5300
Mailing Address - Fax:407-389-5363
Practice Address - Street 1:800 N MAITLAND AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-4489
Practice Address - Country:US
Practice Address - Phone:407-660-7150
Practice Address - Fax:407-660-7108
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2955492363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
HG073ZMedicare PIN