Individual
CURTIS LAWRENCE STORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1747 BAPTIST CLAY DR, SUITE 340, FLEMING ISLAND, FL 32003-8502
(904) 264-4405
(904) 391-5380
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME126828
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01662598
RR MEDICARE
FL
Enumeration date
04/02/2013
Last updated
10/04/2022
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