Provider Demographics
NPI:1588007975
Name:CURTISS, GREG (AP)
Entity Type:Individual
Prefix:
First Name:GREG
Middle Name:
Last Name:CURTISS
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:368 FRANKLIN RD
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33469-3011
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:400 TONEY PENNA DR
Practice Address - Street 2:SUITE F
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-5793
Practice Address - Country:US
Practice Address - Phone:561-676-8241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-16
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2863171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist