Provider Demographics
NPI:1881646453
Name:CUNNINGHAM & RASKIN INC
Entity type:Organization
Organization Name:CUNNINGHAM & RASKIN INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REGIONAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALISA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SALOGAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-733-7700
Mailing Address - Street 1:7710 NW 71ST CT
Mailing Address - Street 2:STE 101
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-2973
Mailing Address - Country:US
Mailing Address - Phone:954-722-9100
Mailing Address - Fax:954-722-4749
Practice Address - Street 1:7710 NW 71ST CT
Practice Address - Street 2:STE 101
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2973
Practice Address - Country:US
Practice Address - Phone:954-722-9100
Practice Address - Fax:954-722-4749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE3505Medicare ID - Type UnspecifiedMEDICARE PROVIDER NO