Provider Demographics
NPI:1447242805
Name:CURTIS, GERARD A (MD)
Entity Type:Individual
Prefix:DR
First Name:GERARD
Middle Name:A
Last Name:CURTIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6130 S TAMIAMI TRL
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-4029
Mailing Address - Country:US
Mailing Address - Phone:941-271-9100
Mailing Address - Fax:941-271-7272
Practice Address - Street 1:6130 S TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-4029
Practice Address - Country:US
Practice Address - Phone:941-271-9100
Practice Address - Fax:941-271-7272
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME69572208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL100972800Medicaid
FLP00731864OtherRAILROAD MEDICARE
FL00011OtherUNIVERSAL HEALTH CARE
FL253590400Medicaid
FL262660OtherAVMED
FL340020509OtherRAILROAD MEDICARE
FL5605754OtherAETNA
FL68902OtherBCBS
FL1192993OtherWELLCARE
FL5605754OtherAETNA
FLG66547Medicare UPIN