Healthcare Provider Details

I. General information

NPI: 1306956438
Provider Name (Legal Business Name): DAVID KURTZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 05/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 N FLAGLER DR SUITE 9400
WEST PALM BEACH FL
33401-3404
US

IV. Provider business mailing address

1411 N FLAGLER DR SUITE 9400
WEST PALM BEACH FL
33401-3404
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 Code208600000X
TaxonomySurgery Physician
License NumberME58226
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberME58226
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: