Healthcare Provider Details

I. General information

NPI: 1275894743
Provider Name (Legal Business Name): JESSICA RAMONA CURRY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2012
Last Update Date: 08/01/2022
Certification Date: 08/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 E HWY 50 STE 205
CLERMONT FL
34711-1975
US

IV. Provider business mailing address

1919 E HWY 50 STE 205
CLERMONT FL
34711-1975
US

V. Phone/Fax

Practice location:
  • Phone: 352-717-3760
  • Fax:
Mailing address:
  • Phone: 352-717-3760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberTRN17254
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: