Healthcare Provider Details

I. General information

NPI: 1487933685
Provider Name (Legal Business Name): CURTIS LADD D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2011
Last Update Date: 09/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11190 HEALTH PARK BLVD
NAPLES FL
34110-5729
US

IV. Provider business mailing address

11190 HEALTH PARK BLVD
NAPLES FL
34110-5729
US

V. Phone/Fax

Practice location:
  • Phone: 239-552-7222
  • Fax: 239-552-7690
Mailing address:
  • Phone: 239-552-7222
  • Fax: 239-552-7690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberOS12685
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: