CHARLES TRACY MCCUTCHEON


Address: 13131 Nw 11th Dr, Sunrise, FL 33323-2953
Phone: 9546955677

CHARLES TRACY MCCUTCHEON (NPI# 1023652997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023652997
Entity Type Individual
Full Name CHARLES TRACY MCCUTCHEON
Credential APRN
Practice Address 13131 Nw 11th Dr
Sunrise
FL 33323-2953
Practice Telephone 9546955677
Mailing Telephone 9546955677
Enumeration Date 2019-11-04
Last Update Date 2019-11-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
11003236 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 13131 NW 11TH DR
City SUNRISE
State FL
Zip Code 33323-2953

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427605088 Global Wellness LLC Clinical Neuropsychologist 1560 Sawgrass Corporate Parkway #447, Sunrise, FL 33323 2019-08-19
1740785062 Rodolfo Walse Asis Jr. Physical Medicine & Rehabilitation 1580 Sawgrass Corporate Parkway, Suite 200, Sunrise, FL 33323 2018-03-28
1558890913 Juliana Andrea Duque Technician, Health Information 11301 Nw 29th Street, Sunrise, FL 33323 2017-06-08
1487183026 Alejandra Lamardo Specialist/Technologist 3634 Nw 122nd Ter, Sunrise, FL 33323 2017-06-07
1831630623 Kayode David Ojetola Physical Therapist 1580 Sawgrass Corporate Parkway, Sunrise, FL 33323 2017-03-14
1467990770 Gerardo Pre Dinglasan Jr. Physical Therapist 1580 Sawgrass Corporate Parkway Suite 200, Parkway Suite 200, Sunrise, FL 33323 2017-02-07
1184161630 Praveen Mishra Physical Therapist 1580 Sawgrass Corp Parkway, Suite 200, Sunrise, FL 33323 2017-01-23
1770029183 Corahealinghands Psychiatric Services Inc Nurse Practitioner 14421 West Sunrise Boulevard Suite, 208, Sunrise, FL 33323 2017-01-09
1558718916 Shirley Freckleton-williams Nurse Practitioner 13110 Nw 11th Drive, Sunrise, FL 33323 2016-05-16
1376927525 Tai Lyn Auras Nurse Practitioner 14050 Nw 14th Street, Suite 190, Fort Lauderdale, FL 33323 2015-07-17
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811595945 Nicole Walters Nurse Practitioner 4900 Nw 92nd Ave, Sunrise, FL 33351 2020-10-12
1174139661 Janet M Sentil Tamayo Nurse Practitioner 11951 Nw 29th Pl, Sunrise, FL 33323-1543 2020-09-20
1922612464 Anahi Munoz Pa Nurse Practitioner 4300 N University Dr Ste C103, Sunrise, FL 33351-6243 2020-09-02
1205453834 Melissa Nabila Shariff Nurse Practitioner 4454 Nw 99th Ave, Sunrise, FL 33351-4745 2020-06-30
1346866613 Derline Julien Nurse Practitioner 4670 Nw 113th Ter, Sunrise, FL 33323-1026 2020-06-22
1356989156 Melissa Rachel Scully Nurse Practitioner 1266 Nw 126th Ter, Sunrise, FL 33323-3152 2019-12-12
1033766605 Vanessa Nulherme Bernard Nurse Practitioner 9201 Nw 53rd Ct, Sunrise, FL 33351-7717 2019-08-19
1922580752 Jessica Natacha Josue Nurse Practitioner 2801 Nw 60th Ave Apt 453, Sunrise, FL 33313-2283 2018-08-29
1730667015 Edita Eligia Collazo Nurse Practitioner 919 Sw 149th Ter, Sunrise, FL 33326-1950 2018-07-30
1013409655 Lenide Jean-charles Nurse Practitioner 7824 Nw 20th Ct, Sunrise, FL 33322-3906 2018-05-30
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Competitor

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City SUNRISE
Zip Code 33323

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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