Organization
B & C FAMILY HEALTH GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERTO CUCURULLO PA (VICE PRESIDENT)
(305) 822-5896
Entity
Organization
Contact information
Practice address
7761 NW 146TH ST, HIALEAH, FL 33016-1559
(305) 822-5896
(305) 822-4260
Mailing address
7761 NW 146TH ST, HIALEAH, FL 33016-1559
(305) 822-5896
(305) 822-4260
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269313500
—
FL
Enumeration date
10/19/2006
Last updated
03/31/2011
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