Healthcare Provider Details

I. General information

NPI: 1538485636
Provider Name (Legal Business Name): PETER CURLENDER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2010
Last Update Date: 04/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2842 S FEDERAL HWY
STUART FL
34994-5738
US

IV. Provider business mailing address

2842 S FEDERAL HWY
STUART FL
34994-5738
US

V. Phone/Fax

Practice location:
  • Phone: 772-286-2044
  • Fax: 772-286-9244
Mailing address:
  • Phone: 772-286-2044
  • Fax: 772-286-9244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberAS3992
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: