Provider Demographics
NPI:1134163470
Name:CURTIS, DANNY LEE (MD)
Entity type:Individual
Prefix:DR
First Name:DANNY
Middle Name:LEE
Last Name:CURTIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:28960 US HIGHWAY 19 N
Mailing Address - Street 2:SUITE 115
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-2403
Mailing Address - Country:US
Mailing Address - Phone:727-771-8282
Mailing Address - Fax:727-771-8788
Practice Address - Street 1:28960 US HIGHWAY 19 N
Practice Address - Street 2:SUITE 115
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-2403
Practice Address - Country:US
Practice Address - Phone:727-771-8282
Practice Address - Fax:727-771-8788
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME67205207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL41905OtherBLUE SHIELD OF FL
FL41905OtherBLUE SHIELD OF FL
A52296Medicare UPIN