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Organization
OAKS MEDICAL GROUP LLC
Active
Organization
OAKS MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO CUCURULLO PA (MEMBER)
(305) 822-1243
Entity
Organization
Contact information
Practice address
7761 NW 146TH ST, MIAMI LAKES, FL 33016-1559
(305) 822-1243
(305) 822-4260
Mailing address
7761 NW 146TH ST, MIAMI LAKES, FL 33016-1559
(305) 822-1243
(305) 822-4260
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME84810
FL
363AM0700X
Medical Physician Assistant
PA 9100128
FL
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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