Cucurullo, Roberto Edmundo

Cucurullo, Roberto Edmundo is an sole proprietor health care provider with primary practice located at 7761 Nw 146Th St , Miami Lakes FL 33016-1559. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Cucurullo, Roberto Edmundo can be contacted via phone (305) 822-5896.

Contact Information

Primary practice address
7761 Nw 146Th St Miami Lakes FL 33016-1559
Phone: (305) 822-5896
Fax: (305) 822-4260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9100128 Florida

Profile Details

NPI number 1477635688
LBN Legal business name Cucurullo, Roberto Edmundo
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Oct 8th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477635688 NPPES
Florida MEDICAID 290459400
Florida Other 292745

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