Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | ME51596 | FL |
NPI | 1134103658 |
---|---|
Provider Name | Dr. Charles M Mccurdy JR. |
First Address | Ft Myers, FL 33908-3618 |
Second Address | Ft Myers, FL 33908-3618 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2005 |
Last Update Date | 21/09/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
375178300 | (05) | FL |
E98481 | (02) | FL |