Provider Demographics
NPI:1851686604
Name:ACUCARE, INC.
Entity Type:Organization
Organization Name:ACUCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:PAULETTE
Authorized Official - Last Name:SKUBAN
Authorized Official - Suffix:
Authorized Official - Credentials:AP, LMT
Authorized Official - Phone:305-495-6026
Mailing Address - Street 1:10600 SW 77TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-2907
Mailing Address - Country:US
Mailing Address - Phone:305-495-6026
Mailing Address - Fax:305-661-1613
Practice Address - Street 1:7800 RED RD
Practice Address - Street 2:SUITE 201
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5528
Practice Address - Country:US
Practice Address - Phone:305-495-6026
Practice Address - Fax:305-661-1613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 1415171100000X
FLMA43419225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty