Individual provider Active NPI

Mikel B. Tuten, PHARMD, CNS

  • Nutrition Support Pharmacist
  • Orange City, FL
National Provider Identifier
1174564843
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Support PharmacistTaxonomy code 1835N1003X
License
RPH013672 Issued in GA
Practice address
2742 Enterprise Rd
Orange City, FL 32763-8353
Phone
(386) 775-2255
Fax
(386) 775-6773
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS18600 FL
Pharmacist 183500000X RPH013672 GA
Nutrition Support Pharmacist 1835N1003X PU2776 FL
Nutrition Support Pharmacist 1835N1003X RPH013672 GA Primary

Addresses

Primary practice location

2742 Enterprise Rd
Orange City, FL 32763-8353

Mailing address

1731 Missouri Ave
Sanford, FL 32771-9722
Phone (407) 324-2911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Specialist, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS18600FLMDPharmacist
PU2776FLMDNutrition Support Pharmacist
RPH013672GAMDNutrition Support Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174564843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 MISSOURI AVE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327719722",
            "telephone_number": "407-324-2911",
            "fax_number": "407-324-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2742 ENTERPRISE RD",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638353",
            "telephone_number": "386-775-2255",
            "fax_number": "386-775-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTEN",
        "first_name": "MIKEL",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "PHARMD, CNS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS18600",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH013672",
            "primary": false
        },
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "FL",
            "license": "PU2776",
            "primary": false
        },
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "GA",
            "license": "RPH013672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.