Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | ME58226 | FL |
Y | 208600000X | Surgeon | ME58226 | FL |
N | 208C00000X | Colorectal Surgeon | ME58226 | FL |
NPI | 1306956438 |
---|---|
Provider Name | David Kurtz |
First Address | West Palm Beach, FL 33401-3404 |
Second Address | West Palm Beach, FL 33401-3404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 09/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
064476500 | (05) | FL |
E61866 | (02) |