Individual
MR. BARRY ALLEN KUSNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
695 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2321
(386) 258-8722
(386) 258-8659
Mailing address
264 PALM COAST PKWY NE, # A, PALM COAST, FL 32137-8217
(386) 258-8722
(386) 258-8659
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME132096
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME132096
FL
207UN0901X
Nuclear Cardiology Physician
ME132096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020964500
—
FL
Enumeration date
04/10/2006
Last updated
05/08/2026
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