Healthcare Provider Details

I. General information

NPI: 1629370879
Provider Name (Legal Business Name): IAN PAUL CURRAN CPHT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2010
Last Update Date: 03/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6030 14TH ST W
BRADENTON FL
34207-4104
US

IV. Provider business mailing address

6030 14TH ST W
BRADENTON FL
34207-4104
US

V. Phone/Fax

Practice location:
  • Phone: 941-756-4886
  • Fax:
Mailing address:
  • Phone: 941-756-4886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberRPT37
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License NumberEMT540925
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: