Healthcare Provider Details

I. General information

NPI: 1447282025
Provider Name (Legal Business Name): STEPHEN CURTIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 10/21/2022
Certification Date: 10/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 N 12TH AVE BLDG B
ARCADIA FL
34266-8752
US

IV. Provider business mailing address

6950 PHILIPS HWY STE 11
JACKSONVILLE FL
32216-6082
US

V. Phone/Fax

Practice location:
  • Phone: 239-936-5250
  • Fax: 239-936-9970
Mailing address:
  • Phone: 321-724-1614
  • Fax: 321-722-3590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME68558
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: