Provider Demographics
NPI:1669679734
Name:MCCURDY, ROSALEE ELIZABETH (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:ROSALEE
Middle Name:ELIZABETH
Last Name:MCCURDY
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21325 SW 89TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33189-7354
Mailing Address - Country:US
Mailing Address - Phone:305-971-2540
Mailing Address - Fax:
Practice Address - Street 1:18001 OLD CUTLER RD
Practice Address - Street 2:SUITE 368
Practice Address - City:VILLAGE OF PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-6422
Practice Address - Country:US
Practice Address - Phone:305-251-7477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 599171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist