Provider Demographics
NPI:1598748691
Name:CURTIS, JANET RAFFA (ARNP)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:RAFFA
Last Name:CURTIS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1168 SAINT FRANCIS PL
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-2017
Mailing Address - Country:US
Mailing Address - Phone:407-383-9706
Mailing Address - Fax:407-884-5788
Practice Address - Street 1:1706 E SEMORAN BLVD
Practice Address - Street 2:SUITE 115
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-5651
Practice Address - Country:US
Practice Address - Phone:407-889-0007
Practice Address - Fax:407-889-5557
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2838172363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE24432ZMedicare ID - Type Unspecified
FLS78700Medicare UPIN