Murciano, Jack

Murciano, Jack is an sole proprietor health care provider with primary practice located at 4279 Nw 88Th Ave , Sunrise FL 33351-6044. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Murciano, Jack can be contacted via phone (954) 741-4280.

Contact Information

Primary practice address
4279 Nw 88Th Ave Sunrise FL 33351-6044
Phone: (954) 741-4280
Fax: (954) 741-4912
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 212728 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME77125 Florida

Profile Details

NPI number 1013950104
LBN Legal business name Murciano, Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated Oct 8th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013950104 NPPES
Florida MEDICAID 280927300

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