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NPI Code Detail

MEDICARE: DR. CURTIS BLAKE BUCHANAN MD

MEDICARE: DR. CURTIS BLAKE BUCHANAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianME131632FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114345667
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CURTIS BLAKE BUCHANAN MD
Provider Business Mailing Address
First Line : 12802 TAMPA OAKS BLVD STE 300
Second Line :
City : TEMPLE TERRACE
State : FL
Zip : 33637-1903
Country : US
Telephone Number : 813-416-0551
Fax Number :
Provider Business Practice Location Address
First Line : 12802 TAMPA OAKS BLVD STE 300
Second Line :
City : TEMPLE TERRACE
State : FL
Zip : 33637-1903
Country : US
Telephone Number : 813-416-0551
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2014
Last Update Date : 07/21/2022

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