MEDICARE: DAVID KURTI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	036043408	IL

General Provider Information

NPI Number	:	1285983551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID KURTI M.D.

Provider Business Mailing Address
First Line	:	253 ESTRELLITA DR
Second Line	:
City	:	FORT MYERS BEACH
State	:	FL
Zip	:	33931-5207
Country	:	US
Telephone Number	:	630-234-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	253 ESTRELLITA DR
Second Line	:
City	:	FORT MYERS BEACH
State	:	FL
Zip	:	33931-5207
Country	:	US
Telephone Number	:	630-234-8000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2012
Last Update Date	:	04/22/2014

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