Individual
BRIAN BUCALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
10067 PINES BLVD., SUITE A, PEMBROKE PINES, FL 33024
(954) 436-5625
(954) 436-0115
Mailing address
10067 PINES BLVD., SUITE A, PEMBROKE PINES, FL 33024
(954) 436-5625
(954) 436-0115
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
BB1760164
FL
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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