Provider Demographics
NPI:1184827164
Name:KURZON, REBECCA JOAN (MD)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:JOAN
Last Name:KURZON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:JOAN
Other - Last Name:WEINSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:266 DETMAR DR
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-3914
Mailing Address - Country:US
Mailing Address - Phone:407-637-2033
Mailing Address - Fax:407-637-2092
Practice Address - Street 1:320 EDINBURGH DR
Practice Address - Street 2:SUITE A
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-4157
Practice Address - Country:US
Practice Address - Phone:407-637-2033
Practice Address - Fax:407-637-2092
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME101602207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL6619820001Medicare NSC