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Anthony Hutauruk

NPI 1477892784 · on the registry since 2013

Practice

Address
4855 E Irlo Bronson Memorial Hwy
Saint Cloud, FL 34771
Phone
(407) 892-5232
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
183500000X
Licence states on file
FL, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-02-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida