# NUCLEUS MEDICAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NUCLEUS PSYCHIATRY MEDICAL INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063210524
- **Authorized official:** BIJU ANTONY (CEO)
- **Authorized official phone:** (305) 924-7726

## Contact information

- **Practice address:** 4850 W OAKLAND PARK BLVD STE 202, LAUDERDALE LAKES, FL 33313-7260
- **Practice address phone:** (305) 924-7726
- **Mailing address:** 12941 NW 2ND ST APT 204, PEMBROKE PINES, FL 33028-2233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/03/2025
- **Last updated:** 03/03/2025