Healthcare Provider Details

I. General information

NPI: 1508137092
Provider Name (Legal Business Name): SCOTT KURZAWA R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2012
Last Update Date: 12/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 COMMERCIAL WAY
SPRING HILL FL
34606-5366
US

IV. Provider business mailing address

140 COMMERCIAL WAY
SPRING HILL FL
34606-5366
US

V. Phone/Fax

Practice location:
  • Phone: 352-238-1334
  • Fax:
Mailing address:
  • Phone: 352-238-1334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS0027659
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: