Healthcare Provider Details
I. General information
NPI: 1144943382
Provider Name (Legal Business Name): ANDREW SYKES CURREN CAA
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/22/2022
Last Update Date: 09/22/2022
Certification Date: 09/22/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1775 W HIBISCUS BLVD STE 215
MELBOURNE FL
32901-2627
US
IV. Provider business mailing address
2688 TRINIDAD CIR
MELBOURNE FL
32934-8208
US
V. Phone/Fax
- Phone: 321-837-3820
- Fax:
- Phone: 727-742-9831
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367H00000X |
| Taxonomy | Anesthesiologist Assistant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: