Provider Demographics
NPI:1952365678
Name:HAMBURG, CURTIS ANDREW (MD)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:ANDREW
Last Name:HAMBURG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 198054
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-2144
Mailing Address - Country:US
Mailing Address - Phone:786-204-4203
Mailing Address - Fax:
Practice Address - Street 1:13101 S DIXIE HWY STE 420
Practice Address - Street 2:
Practice Address - City:PINECREST
Practice Address - State:FL
Practice Address - Zip Code:33156-6530
Practice Address - Country:US
Practice Address - Phone:786-204-4203
Practice Address - Fax:786-576-0404
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME36664207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL067325100Medicaid
FL93937UMedicare PIN
FLD63064Medicare UPIN