| NPI | 1679741920 |
|---|---|
| Doing Business As | FRED KUSSEL D.P.M. |
| Entity Type | Organization |
| Authorized Contact | FRED O KUSSEL President / Podiatrist 727-797-5007 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO2632) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL PO 2632) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-08-25 |