MEDICARE: DR. JENNIFER M KURTIN DO

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	207QA0505X	Adult Medicine Physician	OS8311	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528029535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER M KURTIN DO

Provider Business Mailing Address
First Line	:	1109 NE JENSEN BEACH BLVD
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-4707
Country	:	US
Telephone Number	:	772-335-3500
Fax Number	:	772-335-1361

Provider Business Practice Location Address
First Line	:	1109 NE JENSEN BEACH BLVD
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-4707
Country	:	US
Telephone Number	:	772-335-3500
Fax Number	:	772-335-1361

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

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	07/21/2022

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