CURANT HEALTH FLORIDA LLC

Provider Demographics

• NPI: 1205975257
• Name: CURANT HEALTH FLORIDA LLC
• Entity type: Organization
• Organization Name: CURANT HEALTH FLORIDA LLC
• Other - Org Name: <UNAVAIL>
• Authorized Official - Title/Position: CEO
• Authorized Official - First Name: PATRICK
• Authorized Official - Last Name: DUNHAM
• Authorized Official - Phone: 678-981-7174
• Mailing Address - Street 1: PO BOX 935435
• Mailing Address - City: ATLANTA
• Mailing Address - State: GA
• Mailing Address - Zip Code: 31193-5435
• Mailing Address - Country: US
• Mailing Address - Phone: 770-437-8040
• Mailing Address - Fax: 866-461-8411
• Practice Address - Street 1: 11001 ROOSEVELT BLVD N STE 1400
• Practice Address - City: ST PETERSBURG
• Practice Address - State: FL
• Practice Address - Zip Code: 33716-2338
• Practice Address - Country: US
• Practice Address - Phone: 727-214-5110
• Practice Address - Fax: 727-544-3459
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2007-02-06
• Last Update Date: 2022-11-17

Provider Licenses

State	License ID	Taxonomies
		333600000X, 3336C0004X, 3336S0011X
FL	PH27574	3336C0003X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	3336S0011X	Suppliers	Pharmacy	Specialty Pharmacy
No	333600000X	Suppliers	Pharmacy
No	3336C0003X	Suppliers	Pharmacy	Community/Retail Pharmacy
No	3336C0004X	Suppliers	Pharmacy	Compounding Pharmacy

Provider Identifiers

State	Identifier ID	ID Type	Issuer
	1024518	Other	NABP
WI	10068337	Medicaid
CO	1205975257	Medicaid
NE	10026655400	Medicaid
	2008449	Other	PK
SC	7F7574	Medicaid
DC	10457033	Medicaid
MD	5140145	Medicaid
KY	7100343020	Medicaid
IN	200891090A	Medicaid
IA	0410454	Medicaid
PA	1032690100001	Medicaid
MI	1205975257	Medicaid
VA	1205975257	Medicaid
ID	1205975257-001	Medicaid
OH	0191590	Medicaid
FL	025177100	Medicaid