Provider Demographics
NPI:1538479746
Name:CURTIS B.SCHWARTZ,MD.PA
Entity Type:Organization
Organization Name:CURTIS B.SCHWARTZ,MD.PA
Other - Org Name:GOLD COAST UROLOGIST OF FLORIDA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ DOCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:B
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-763-8355
Mailing Address - Street 1:1777 S.ANDREWS AVENUE
Mailing Address - Street 2:SUITE300
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316
Mailing Address - Country:US
Mailing Address - Phone:954-763-8355
Mailing Address - Fax:954-764-0642
Practice Address - Street 1:1777 S.ANDREWS AVENUE
Practice Address - Street 2:SUITE300
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316
Practice Address - Country:US
Practice Address - Phone:954-763-8355
Practice Address - Fax:954-764-0642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-21
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL60143174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14521OtherMEDICARE
FL057365500Medicaid
FL057365500Medicaid