Active NPI
Lyndon Lagunzad Cutillar, PA-C
- Medical Physician Assistant
- Davenport, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9103647
- Practice address
- 106 Park Place Blvd Ste C
Davenport, FL 33837-6868 - Phone
- (863) 588-4775
- Fax
- (863) 422-7664
- NPI assigned
- Apr 6, 2007
- Last updated
- Feb 10, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9103647 | FL | Primary |
Addresses
Primary practice location
106 Park Place Blvd Ste C
Davenport, FL 33837-6868
Mailing address
PO Box 878
Davenport, FL 33836-0878
Phone (689) 223-3898
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013331200 | Medicaid | FL |
Other names 1
- Lyndon Cutillar
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
151 Talmeda TRL
Maitland, FL 32751-4825
1580 Santa Barbara Blvd
The Villages, FL 32159-6827
6388 Silver Star Rd
Suite C1
Orlando, FL 32818-3235
8400 NW 33Rd St
Suite 201
Doral, FL 33122-1937
8552 Palm Pkwy
Orlando, FL 32836-6432
PO Box
Suite 878
Davenport, FL 33836
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9103647 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SFP PC Holdings, Inc. | Current | Accepting new patients | |
| Guidewell Sanitas I, LLC | Current | Accepting new patients | |
| Pca Medical Group, Inc. | Past | Accepting new patients |
Locations
106 Park Place Blvd
Ste C
Davenport, FL 33837
Phone (863) 422-7664
8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869
3617 W Hillsborough Ave
Tampa, FL 33614
Phone (813) 675-2020
Interoperability endpoints
- lyndon.cutillar@wwmp.eclinicaldirectplus.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Altamonte SPG, FL
- NPI 1265277453
-
- Multi-Specialty Clinic/Center
- Davenport, FL
- NPI 1225923667
-
dba STARUS Medical Group
- Internal Medicine Physician
- Palm Harbor, FL
- NPI 1144415837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770681600000",
"number": "1265554380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 878",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338360878",
"telephone_number": "689-223-3898",
"fax_number": "689-223-3898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 PARK PLACE BLVD STE C",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338376868",
"telephone_number": "863-588-4775",
"fax_number": "863-422-7664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUTILLAR",
"first_name": "LYNDON",
"middle_name": "LAGUNZAD",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9103647",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "013331200",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LYNDON",
"last_name": "CUTILLAR",
"credential": "PA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Davenport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.