Individual
BRETT CRAIG FUKUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-8178
Mailing address
1611 NW 12 AVENUE, WEST WING 279, MIAMI, FL 33136
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
ME137690
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2013
Last updated
10/30/2024
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