Healthcare Provider Details

I. General information

NPI: 1073943627
Provider Name (Legal Business Name): DAWN CURTIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2013
Last Update Date: 11/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4591 COVE DR APT 208
BELLE ISLE FL
32812-2944
US

IV. Provider business mailing address

750 S ORANGE BLOSSOM TRL STE 134
ORLANDO FL
32805-3156
US

V. Phone/Fax

Practice location:
  • Phone: 321-217-6650
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: