Provider Demographics
NPI:1326161274
Name:CURTWRIGHT, LEWIS K (DO)
Entity Type:Individual
Prefix:DR
First Name:LEWIS
Middle Name:K
Last Name:CURTWRIGHT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1119 S RIO GRANDE AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32805-3749
Mailing Address - Country:US
Mailing Address - Phone:407-422-2031
Mailing Address - Fax:407-849-6370
Practice Address - Street 1:1119 S RIO GRANDE AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32805-3749
Practice Address - Country:US
Practice Address - Phone:407-422-2031
Practice Address - Fax:407-849-6370
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS3107207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL82908Medicare ID - Type Unspecified
FLA71501Medicare UPIN