Healthcare Provider Details

I. General information

NPI: 1245970532
Provider Name (Legal Business Name): DANUTA JACKSON-CURTIS MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2022
Last Update Date: 04/01/2022
Certification Date: 04/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28960 US HIGHWAY 19 N STE 115
CLEARWATER FL
33761-2403
US

IV. Provider business mailing address

28960 US HIGHWAY 19 N STE 115
CLEARWATER FL
33761-2403
US

V. Phone/Fax

Practice location:
  • Phone: 727-771-8282
  • Fax: 727-771-8788
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DANUTA JACKSON-CURTIS
Title or Position: OWNER
Credential: MD
Phone: 727-687-6882