Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | ME86051 | FL |
N | 208600000X | Surgeon | ME86051 | FL |
Y | 2086S0105X | Surgery of the Hand | ME86051 | FL |
NPI | 1376539312 |
---|---|
Provider Name | Dr. Richard D Curtis |
First Address | Jacksonville, FL 32223-1627 |
Second Address | Fleming Island, FL 32003-4323 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2005 |
Last Update Date | 15/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001701100 | (05) | FL |
H74336 | (02) |