Provider Demographics
NPI:1497002604
Name:KURTZER, DARREN ALLAN (AUD)
Entity type:Individual
Prefix:
First Name:DARREN
Middle Name:ALLAN
Last Name:KURTZER
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:745 SW 148TH AVE APT 807
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33325-3096
Mailing Address - Country:US
Mailing Address - Phone:727-612-5385
Mailing Address - Fax:
Practice Address - Street 1:130 S UNIVERSITY DR STE C
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-3329
Practice Address - Country:US
Practice Address - Phone:727-612-5385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-07
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAZ628390200000X
FLAY1752231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program