Provider Demographics
NPI:1720570252
Name:NUCARE FAMILY PRACTICE
Entity Type:Organization
Organization Name:NUCARE FAMILY PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:M L
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTO
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:954-275-0607
Mailing Address - Street 1:1900 W OAKLAND PARK BLVD UNIT 5305
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33310-0140
Mailing Address - Country:US
Mailing Address - Phone:954-275-0607
Mailing Address - Fax:
Practice Address - Street 1:1900 W OAKLAND PARK BLVD UNIT 5305
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33310-0140
Practice Address - Country:US
Practice Address - Phone:954-275-0607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-31
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9257932261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health