Organization Active NPI

Dundee Medical Walk-in Clinic

  • General Practice Physician
  • Dundee, FL
National Provider Identifier
1710074497
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DUNDEE MEDICAL WALK-IN CLINIC
Practice address
28055 Highway 27 South
Dundee, FL 33838
Phone
(863) 439-7377
Fax
(863) 439-5452
NPI assigned
Oct 6, 2006
Last updated
Mar 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Authorized official

Name
Dr. Mohan Kutty, M.D.
Title
Doctor
Phone
(863) 439-7377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

28055 Highway 27 South
Dundee, FL 33838

Mailing address

28055 Highway 27 South
Dundee, FL 33838
Phone (863) 439-7377

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1710074497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28055 HIGHWAY 27 SOUTH",
            "city": "DUNDEE",
            "state": "FL",
            "postal_code": "33838",
            "telephone_number": "863-439-7377",
            "fax_number": "863-439-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28055 HIGHWAY 27 SOUTH",
            "city": "DUNDEE",
            "state": "FL",
            "postal_code": "33838",
            "telephone_number": "863-439-7377",
            "fax_number": "863-439-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNDEE MEDICAL WALK-IN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "KUTTY",
        "authorized_official_first_name": "MOHAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "863-439-7377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dundee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.