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Individual

CURTIS C ADOLPHSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12901 BRUCE B DOWNS BLVD, MDC 19, TAMPA, FL 33612-4742
(813) 259-0655
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME37472
FL
207RG0100X
Gastroenterology Physician
FTL 41438
TX
207RG0100X
Gastroenterology Physician
Primary
ME37472
FL
207RT0003X
Transplant Hepatology Physician
ME37472
FL
207RX0202X
Medical Oncology Physician
ME37472
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
182360101
TX
05
281061100
FL
01
30590
BLUE CROSS BLUE SHIELD
FL
01
8F6662
BCBSTX
TX
Enumeration date
07/15/2006
Last updated
06/16/2008
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