Individual
HAROLD C KUSHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13691 METRO PKWY, STE 420, FORT MYERS, FL 33912-4327
(239) 768-7332
(239) 768-2197
Mailing address
PO BOX 7518, FORT MYERS, FL 33911-7518
(239) 931-7262
(239) 931-7382
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME42748
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040001328
RAILROAD MEDICARE PROVIDER NUMBER
FL
05
—
040308300
—
FL
Enumeration date
04/25/2006
Last updated
01/24/2012
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