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1265429427
FRED KUSUMOTO
JACKSONVILLE, FL
NPI
1265429427
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology
(Licence: FL ME91015)
Enumeration Date
2005-10-03
Last Update Date
2020-08-31
Business Address
FRED KUSUMOTO MD
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224-1865
Phone number: 904-953-2000
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Mailing Address
FRED KUSUMOTO MD
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224-1865
Phone number:
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