MEDICARE: MR. MARK A CURATOLO

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
1	2471S1302X	Sonography Radiologic Technologist	ME0053997	FL

General Provider Information

NPI Number	:	1184824898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MARK A CURATOLO

Provider Business Mailing Address
First Line	:	PO BOX 26027
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33320-6027
Country	:	US
Telephone Number	:	954-752-3257
Fax Number	:	954-752-3542

Provider Business Practice Location Address
First Line	:	4001 N OCEAN DR STE 304
Second Line	:
City	:	LAUDERDALE BY THE SEA
State	:	FL
Zip	:	33308-5968
Country	:	US
Telephone Number	:	954-752-3257
Fax Number	:	954-752-3542

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2007
Last Update Date	:	07/20/2007

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Directions to “ MR. MARK A CURATOLO ” Practice Location

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