Individual provider Active NPI

Edward Philip Cutolo Jr., M.D.

  • Internal Medicine Physician
  • Deltona, FL
National Provider Identifier
1063485456
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0072574 Issued in FL
Practice address
1720 Fruitland Dr
Deltona, FL 32725-4594
Phone
(813) 784-8552
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0072574 FL Primary

Addresses

Primary practice location

1720 Fruitland Dr
Deltona, FL 32725-4594

Mailing address

12219 Fort King Hwy
Thonotosassa, FL 33592-2703
Phone (813) 784-8552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0072574FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiopulmonary Diagnostics CurrentSince Jan 26, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1063485456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12219 FORT KING HWY",
            "city": "THONOTOSASSA",
            "state": "FL",
            "postal_code": "335922703",
            "telephone_number": "813-784-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 FRUITLAND DR",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327254594",
            "telephone_number": "813-784-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTOLO",
        "first_name": "EDWARD",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0072574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deltona, FL

Sources for this page

Verify at the official NPI Registry.