Healthcare Provider Details

I. General information

NPI: 1366963068
Provider Name (Legal Business Name): ANDREA S SILVA CURET M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2017
Last Update Date: 12/10/2021
Certification Date: 12/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

858 MONUMENT RD STE B
JACKSONVILLE FL
32225-6684
US

IV. Provider business mailing address

858 MONUMENT RD STE B
JACKSONVILLE FL
32225-6684
US

V. Phone/Fax

Practice location:
  • Phone: 904-450-8060
  • Fax: 904-450-6969
Mailing address:
  • Phone: 904-450-8060
  • Fax: 904-450-6969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberTRN24273
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME142047
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: