Basic Information
Provider Information
NPI: 1063670412
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CURRY
FirstName: SIDNEY
MiddleName: S
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 151 SOUTHHALL LN
Address2: SUITE 300
City: MAITLAND
State: FL
PostalCode: 327517176
CountryCode: US
TelephoneNumber: 4078752080
FaxNumber: 4076503455
Practice Location
Address1: 1918 SE 17TH ST STE 300
Address2:  
City: OCALA
State: FL
PostalCode: 344714120
CountryCode: US
TelephoneNumber: 3526202420
FaxNumber: 3526202935
Other Information
ProviderEnumerationDate: 06/01/2008
LastUpdateDate: 07/26/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207N00000X021235GAN Allopathic & Osteopathic PhysiciansDermatology 
207N00000XME115923FLY Allopathic & Osteopathic PhysiciansDermatology 

No ID Information.


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