Individual
MANUEL ALBERTO NUCETE VIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
601 N FLAMINGO RD, STE 308, PEMBROKE PINES, FL 33028-1015
(954) 392-7770
(954) 392-7577
Mailing address
4786 NW 107TH AVE, APT 102, DORAL, FL 33178-1897
(954) 392-7770
(954) 392-7577
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
HSE22341
FL
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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