Provider Demographics
NPI:1144589128
Name:RONALD H. KURLANDER, MD, PA
Entity Type:Organization
Organization Name:RONALD H. KURLANDER, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:H
Authorized Official - Last Name:KURLANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-786-2255
Mailing Address - Street 1:1 W SAMPLE RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-3547
Mailing Address - Country:US
Mailing Address - Phone:954-786-2255
Mailing Address - Fax:954-786-4176
Practice Address - Street 1:1 W SAMPLE RD
Practice Address - Street 2:SUITE 205
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-3547
Practice Address - Country:US
Practice Address - Phone:954-786-2255
Practice Address - Fax:954-786-4176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-10
Last Update Date:2012-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME332972084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty