Organization
CURTIS JOHN CORGAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CURTIS JOHN CORGAN MD (PRESIDENT)
(954) 258-3899
Entity
Organization
Contact information
Practice address
12300 SW 69TH PL, PINECREST, FL 33156-5436
(954) 258-3899
Mailing address
12300 SW 69TH PL, PINECREST, FL 33156-5436
(954) 258-3899
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME 93407
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275013900
—
FL
Enumeration date
02/05/2010
Last updated
02/05/2010
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