Basic Information
Provider Information
NPI: 1396091328
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CUVI
FirstName: DAVE
MiddleName: B
NamePrefix: MR.
NameSuffix:  
Credential: P.A.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1201 NW 16TH ST
Address2:  
City: MIAMI
State: FL
PostalCode: 331251624
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1201 NW 16TH ST
Address2:  
City: MIAMI
State: FL
PostalCode: 331251624
CountryCode: US
TelephoneNumber: 3055757000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/27/2012
LastUpdateDate: 06/06/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/06/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363AS0400X015568NYN Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
363AM0700X015568NYN Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
363AS0400X5601008760MIY Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical

No ID Information.


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