1205975257 NPI number — CURANT HEALTH FLORIDA LLC

Table of content: (NPI 1205975257)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205975257 NPI number — CURANT HEALTH FLORIDA LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CURANT HEALTH FLORIDA LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205975257
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/17/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 935435
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ATLANTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31193-5435
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
770-437-8040
Provider Business Mailing Address Fax Number:
866-461-8411

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11001 ROOSEVELT BLVD N STE 1400
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ST PETERSBURG
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33716-2338
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-214-5110
Provider Business Practice Location Address Fax Number:
727-544-3459
Provider Enumeration Date:
02/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
DUNHAM
Authorized Official First Name:
PATRICK
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
678-981-7174

Provider Taxonomy Codes

  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: PH27574 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0004X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336S0011X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1024518 . This is a "NABP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 10068337 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1205975257 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10026655400 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2008449 . This is a "PK" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7F7574 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10457033 , issued by the state of ( DC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5140145 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100343020 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200891090A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0410454 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1032690100001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1205975257 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1205975257 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1205975257-001 , issued by the state of ( ID ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0191590 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 025177100 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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