Curtis John Corgan LLC

NPI #1538491204 in Pinecrest, Florida

Provider Information

NPI Number: 1538491204
Entity Type: Organization
Organization Name: Curtis John Corgan LLC
Primary Specialty: Specialist
Enumeration Date: Feb 5, 2010
Last Updated: Feb 5, 2010

Practice Location

Address: 12300 SW 69TH PL
City: Pinecrest
State: Florida
ZIP Code: 33156-5436
Phone: (954) 258-3899

Authorized Official

Name: DR. CURTIS JOHN CORGAN, MD
Title: PRESIDENT
Phone: (954) 258-3899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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