LYNDON LAGUNZAD CUTILLAR PA-C
NPI 1265554380
Physician Assistant - Medical in Davenport, FL

Active since April 06, 2007PECOS EnrolledAccepts Medicare Assignment
106 PARK PLACE BLVD STE C, DAVENPORT, FL 33837(863) 588-4775(863) 422-7664 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 1, 2016, Feb 3, 2016 (2 updates tracked since 2016).

About Lyndon Lagunzad Cutillar Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYNDON LAGUNZAD CUTILLAR PA-C (NPI 1265554380) is an individual medical provider in Davenport, Florida, licensed in Florida (PA9103647) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1265554380
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameLYNDON LAGUNZAD CUTILLARCredential: PA-C
Location Address106 PARK PLACE BLVD STE CDavenport, FL 33837-6868
Mailing AddressPo Box 878Davenport, FL 33836-0878 · (689) 223-3898 · Fax (689) 223-3898
Fax(863) 422-7664
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateApril 6, 2007
Last NPPES UpdateFebruary 10, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2026
NPI 1265554380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · PA9103647
106 PARK PLACE BLVD STE C, Davenport, FL 33837

Other Names 1

Other Name (5)Lyndon Cutillar Pa

Other Identifiers 1

Medicaid013331200FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lyndon Lagunzad Cutillar Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173623790
PECOS Enrollment IDI20070712000092
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
106 PARK PLACE BLVD STE C
DAVENPORT, FL 33837
Physician Assistant
106 PARK PLACE BLVD STE C
DAVENPORT, FL 33837
Family Medicine
106 PARK PLACE BLVD STE C
DAVENPORT, FL 33837
General Practice
106 PARK PLACE BLVD STE C
DAVENPORT, FL 33837
General Practice
106 PARK PLACE BLVD STE C
DAVENPORT, FL 33837
Nurse Practitioner (Family)
106 PARK PLACE BLVD STE C
DAVENPORT, FL 33837
General Practice
106 PARK PLACE BLVD STE C
DAVENPORT, FL 33837
Family Medicine
106 PARK PLACE BLVD STE C
DAVENPORT, FL 33837

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265554380, enumerated as an "individual" on April 06, 2007.

The provider is located at 106 PARK PLACE BLVD STE C DAVENPORT, FL 33837 and the phone number is (863) 588-4775.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.