Provider Demographics
NPI:1093955346
Name:MOHR, KURTIS B (MD)
Entity Type:Individual
Prefix:DR
First Name:KURTIS
Middle Name:B
Last Name:MOHR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:12386 STATE ROAD 535
Mailing Address - Street 2:#448
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32836-6701
Mailing Address - Country:US
Mailing Address - Phone:407-934-4100
Mailing Address - Fax:407-934-4101
Practice Address - Street 1:960 BACK STAGE LN
Practice Address - Street 2:
Practice Address - City:LAKE BUENA VISTA
Practice Address - State:FL
Practice Address - Zip Code:32830-8472
Practice Address - Country:US
Practice Address - Phone:407-934-4100
Practice Address - Fax:407-934-4101
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-26
Last Update Date:2015-03-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH57.012957207Q00000X
FLME 107951207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine