Provider Demographics
NPI:1013236801
Name:ANTHONY CUVA MD,PA
Entity Type:Organization
Organization Name:ANTHONY CUVA MD,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:(NMN)
Authorized Official - Last Name:CUVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-794-0646
Mailing Address - Street 1:PO BOX 14430
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34280-4430
Mailing Address - Country:US
Mailing Address - Phone:941-794-0646
Mailing Address - Fax:
Practice Address - Street 1:2505 MANATEE AVE W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-4935
Practice Address - Country:US
Practice Address - Phone:941-794-0646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME19231314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility