Provider Demographics
NPI:1891858015
Name:ITTNER, CURTIS A (RPH)
Entity Type:Individual
Prefix:MR
First Name:CURTIS
Middle Name:A
Last Name:ITTNER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:789 BOSTWICK DR
Mailing Address - Street 2:
Mailing Address - City:KEY LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33037-2706
Mailing Address - Country:US
Mailing Address - Phone:305-304-1990
Mailing Address - Fax:305-453-1419
Practice Address - Street 1:105300 OVERSEAS HWY
Practice Address - Street 2:WINN-DIXIE PHARMACY
Practice Address - City:KEY LARGO
Practice Address - State:FL
Practice Address - Zip Code:33037-3001
Practice Address - Country:US
Practice Address - Phone:305-451-3591
Practice Address - Fax:305-451-4793
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0033198183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist