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Individual

NICHOLAS FUSCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
700 W OAK ST, KISSIMMEE, FL 34741-4924
(407) 399-3065
Mailing address
13038 LESSING AVE, ORLANDO, FL 32827-7570
(407) 399-3065

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS16580
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/18/2017
Last updated
09/12/2020
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