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Organization
JUNGSIL K CUSIMANO MD, INC.
Active
Organization
JUNGSIL K CUSIMANO MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUNGSIL K CUSIMANO MD (PRESIDENT)
(607) 206-2007
Entity
Organization
Contact information
Practice address
18842 N DALE MABRY HWY, LUTZ, FL 33548-4978
(813) 536-2542
(813) 536-2544
Mailing address
3608 BALLASTONE DR, LAND O LAKES, FL 34638-8069
(607) 206-2007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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