Organization
ORACLE DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICAHEL NUSSBAUM (CEO)
(561) 777-2024
Entity
Organization
Contact information
Practice address
6831 NW 20TH AVE STE 108, FT LAUDERDALE, FL 33309-1505
(561) 777-2024
Mailing address
6831 NW 20TH AVE STE 108, FT LAUDERDALE, FL 33309-1505
(561) 777-2024
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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