Provider Demographics
NPI:1407877731
Name:CURCIONE, PETER JOSEPH (DO)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:JOSEPH
Last Name:CURCIONE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3210 CLEVELAND AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901-7182
Mailing Address - Country:US
Mailing Address - Phone:239-936-6778
Mailing Address - Fax:
Practice Address - Street 1:3210 CLEVELAND AVE STE 100
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33901-7182
Practice Address - Country:US
Practice Address - Phone:239-936-6778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS7440207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0664623OtherAETNA HMO
FL592207264OtherCIGNA PPO
FL592207264EOtherHUMANA
FL9081708001OtherCIGNA HMO
FL0599675OtherGHI PPO
FL0905529OtherUHC
FL252112100Medicaid
FL5522534OtherAETNA PPO
FL57526OtherBCBS
FL0599675OtherGHI PPO
FL592207264EOtherHUMANA
FL592207264OtherCIGNA PPO
FL57526OtherBCBS
FLG53528Medicare UPIN
FL0626040001Medicare NSC