Individual
RUSS A. KUKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1611 NW 12TH AVE, WW279, MIAMI, FL 33136-1005
(305) 585-7955
Mailing address
10402 SW 121ST ST, MIAMI, FL 33176-4752
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
ME94550
FL
2085R0202X
Diagnostic Radiology Physician
ME94550
FL
Other
Enumeration date
05/30/2007
Last updated
03/15/2018
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