Provider Demographics
NPI:1063670412
Name:CURRY, SIDNEY S (MD)
Entity Type:Individual
Prefix:
First Name:SIDNEY
Middle Name:S
Last Name:CURRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 SOUTHHALL LN
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-7176
Mailing Address - Country:US
Mailing Address - Phone:407-875-2080
Mailing Address - Fax:407-650-3455
Practice Address - Street 1:1918 SE 17TH ST STE 300
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-4120
Practice Address - Country:US
Practice Address - Phone:352-620-2420
Practice Address - Fax:352-620-2935
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-01
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA021235207N00000X
FLME115923207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA202I076625Medicare PIN
FLHG068YMedicare PIN
FLHG068ZMedicare PIN