ANDREA TUTTLE (NPI# 1215382619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215382619 |
| Entity Type | Individual |
| Full Name | ANDREA TUTTLE |
| Credential | MD |
| Practice Address |
5755 Quintette Road Pace FL 32571 |
| Practice Telephone | 8509958087 |
| Mailing Telephone | 8509958087 |
| Mailing Fax Number | 8509945292 |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2019-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME138414 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | TRN 22648 | FL | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1657 Trinity Dr, Pensacola, FL 325045708 | 8504167710 | 8504176729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629437934 | Andrea Tuttle | Social Worker | 1473 Barcelona Ave, Fort Myers, FL 33901-6642 | 2016-02-15 |
| Street Address |
5755 QUINTETTE ROAD |
| City | PACE |
| State | FL |
| Zip Code | 32571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528619103 | Sabrina Hall | Behavior Technician | 3802 Hwy 90, Pace, FL 32571 | 2019-09-24 |
| 1902364094 | Audiology Services Company Usa, LLC | Audiologist-Hearing Aid Fitter | 3754 Us Hightway 90, Suite 390a, Pace, FL 32571 | 2019-03-07 |
| 1598245391 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 5012 Highway 90, Pace, FL 32571 | 2018-08-21 |
| 1922529957 | Overwatch Investments | Home Health | 4503 Woodbine Road, Pace, FL 32571 | 2017-06-29 |
| 1134503477 | Joshua Leblanc | Dentist | 4873 Us-90, Pace, FL 32571 | 2015-07-16 |
| 1326468323 | Ileana Bernal-blair | Obstetrics & Gynecology | 3574 Highway 90, Ste 220, Pace, FL 32571 | 2014-04-17 |
| 1710320064 | Victorian Manor Retirement Center,inc. | Assisted Living Facility | 4685 Chumuckla Highway, Pace, FL 32571 | 2013-04-16 |
| 1639460819 | Wayne Kramer | Massage Therapist | 5717 Hwy 90, Pace, FL 32571 | 2011-04-22 |
| 1386942365 | Jennifer Lyn Newstrom | Behavioral Analyst | 4000 Us-90, B, Pace, FL 32571 | 2011-03-01 |
| 1679799555 | Janet M Morris | Optometrist | 4965 Hwy 90, Pace, FL 32571 | 2007-04-18 |
| Find all providers in zip 32571 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912096033 | Kids Care Pediatrics of Nw Fl. Inc | Pediatrics | 4622 Summerdale Blvd, Pace, FL 32571 | 2006-10-12 |
| 1083712632 | Teresa Ann Mahaffey | Pediatrics | 5565 Woodbine Rd, Pace, FL 32571-8768 | 2006-09-20 |
| 1053369991 | Michelle S Page | Pediatrics | 4288 Woodbine Rd, Suite D, Pace, FL 32571-8795 | 2006-05-04 |
| 1134195613 | Jennifer Mijares Zimmerman | Pediatrics | 4435 U.S.90, Pace, FL 32571-1368 | 2006-02-24 |
| 1407843410 | Lisa Currier | Pediatrics | 3754 Highway 90, Pace, FL 32571-1096 | 2005-10-04 |
| 1164417275 | David A Hensley | Pediatrics | 4860 Woodbine Rd, Suite 1 & 2, Pace, FL 32571-8709 | 2005-09-14 |
| 1073946950 | Ramu Srinivas Jonnalagadda | Pediatrics | 5565 Woodbine Rd, Pace, FL 32571-8768 | 2013-08-15 |
| 1124369160 | Pediatric Associates Pa | Pediatrics | 4435 Highway 90, Pace, FL 32571-2066 | 2013-03-14 |
| 1407018138 | Michelle S Page Md Pa | Pediatrics | 4288 Woodbine Rd, Pace, FL 32571-8755 | 2008-06-25 |
| 1023153608 | Growing Child Pediatrics | Pediatrics | 5565 Woodbine Rd, Pace, FL 32571-8768 | 2007-02-21 |
| Find all providers in PACE | ||||
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| 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.