Healthcare Provider Details

I. General information

NPI: 1770610206
Provider Name (Legal Business Name): DAVID KURTZ MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 01/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 N FLAGLER DR SUITE 9400
WEST PALM BEACH FL
33401-3422
US

IV. Provider business mailing address

1411 N FLAGLER DR SUITE 9400
WEST PALM BEACH FL
33401-3422
US

V. Phone/Fax

Practice location:
  • Phone: 561-659-7702
  • Fax: 561-659-7821
Mailing address:
  • Phone: 561-659-7702
  • Fax: 561-659-7821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberME58226
License Number StateFL

VIII. Authorized Official

Name: DAVID KURTZ
Title or Position: PRESIDENT
Credential: MD
Phone: 561-659-7702