Provider Demographics
NPI:1629059167
Name:CURA, JOSE JR (MD)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:
Last Name:CURA
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4600 N HABANA AVE
Mailing Address - Street 2:SUITE 13
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-7166
Mailing Address - Country:US
Mailing Address - Phone:813-878-2970
Mailing Address - Fax:813-870-2294
Practice Address - Street 1:4600 N HABANA AVE
Practice Address - Street 2:SUITE 13
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-7166
Practice Address - Country:US
Practice Address - Phone:813-878-2970
Practice Address - Fax:813-870-2294
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME47543207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL046449000Medicaid
FL046449000Medicaid
FL02395XMedicare PIN