Individual
MARCELA CUCALON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
8200 SW 117TH AVE, STE 104, MIAMI, FL 33183
(305) 403-0131
Mailing address
8200 SW 117TH AVE STE 104, MIAMI, FL 33183-4825
(305) 746-5249
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP9380821
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ARNP9380821
—
FL
Enumeration date
04/20/2018
Last updated
06/16/2018
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