Provider Demographics
NPI:1558687095
Name:CURTIS DERMATOLOGY, P.A.
Entity Type:Organization
Organization Name:CURTIS DERMATOLOGY, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNORA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:561-818-4089
Mailing Address - Street 1:PO BOX 210816
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33421-0816
Mailing Address - Country:US
Mailing Address - Phone:561-818-4089
Mailing Address - Fax:561-964-9983
Practice Address - Street 1:10817 S JOG RD
Practice Address - Street 2:SUITE 236
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-0911
Practice Address - Country:US
Practice Address - Phone:561-818-4089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-08
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty