MEDICARE: NUCARE FAMILY PRACTICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QC1500X	Community Health Clinic/Center	9257932	FL

General Provider Information

NPI Number	:	1720570252
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NUCARE FAMILY PRACTICE

Provider Business Mailing Address
First Line	:	1900 W OAKLAND PARK BLVD UNIT 5305
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33310-0140
Country	:	US
Telephone Number	:	954-275-0607
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 W OAKLAND PARK BLVD UNIT 5305
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33310-0140
Country	:	US
Telephone Number	:	954-275-0607
Fax Number	:

Authorized Official
Title or Position	:	PRINCIPAL OFFICER
Name	:	M L BATTO
Credential	:	FNP
Telephone Number	:	954-275-0607

Provider Enumeration Date	:	05/31/2018
Last Update Date	:	05/31/2018

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