Basic Information
| Provider Information | |||||||||
| NPI: | 1942277140 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | COURVILLE | ||||||||
| FirstName: | CRAIG | ||||||||
| MiddleName: | STEVEN | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 27549 SANTA ANITA BLVD | ||||||||
| Address2: | |||||||||
| City: | WESLEY CHAPEL | ||||||||
| State: | FL | ||||||||
| PostalCode: | 335445467 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8139294888 | ||||||||
| FaxNumber: | 8139294813 | ||||||||
| Practice Location | |||||||||
| Address1: | 13000 BRUCE B. DOWNS BLVD | ||||||||
| Address2: | JAMES A. HALEY VAH (111F) | ||||||||
| City: | TAMPA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33612 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8139722000 | ||||||||
| FaxNumber: | 8139785850 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/07/2006 | ||||||||
| LastUpdateDate: | 01/03/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RN0300X | MD.017812 | LA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
No ID Information.