MEDICARE: DAVID KURTZ MD PA

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	174400000X	Specialist	ME58226	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	:	1770610206
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID KURTZ MD PA

Provider Business Mailing Address
First Line	:	1411 N FLAGLER DR
Second Line	:	SUITE 9400
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-3422
Country	:	US
Telephone Number	:	561-659-7702
Fax Number	:	561-659-7821

Provider Business Practice Location Address
First Line	:	1411 N FLAGLER DR
Second Line	:	SUITE 9400
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-3422
Country	:	US
Telephone Number	:	561-659-7702
Fax Number	:	561-659-7821

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID KURTZ
Credential	:	MD
Telephone Number	:	561-659-7702

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	01/14/2014

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