Individual
DR. JACK MURCIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4279 NW 88TH AVE, SUNRISE, FL 33351-6044
(954) 741-4280
(954) 741-4912
Mailing address
900 S PINE ISLAND RD, SUITE 800, PLANTATION, FL 33324-3920
(954) 741-4280
(954) 741-4912
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
212728
NY
208000000X
Pediatrics Physician
Primary
ME77125
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280927300
—
FL
Enumeration date
06/14/2006
Last updated
10/08/2013
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