Provider Demographics
NPI:1245410687
Name:ANDERSON, CURTIS L (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:L
Last Name:ANDERSON
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 565805
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33256-5805
Mailing Address - Country:US
Mailing Address - Phone:786-534-2555
Mailing Address - Fax:786-703-7745
Practice Address - Street 1:15600 NW 67TH AVE STE 101
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2175
Practice Address - Country:US
Practice Address - Phone:786-534-2555
Practice Address - Fax:786-703-7745
Is Sole Proprietor?:No
Enumeration Date:2007-11-13
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1141422085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology