Individual
CHRIS NUSSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 VONDERBURG DRIVE, SUITE 213, BRANDON, FL 33511-5979
(813) 508-1640
(813) 571-5789
Mailing address
1004 MORFIELD LN, BRANDON, FL 33511-6336
(813) 508-1640
(813) 571-5789
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0049552
FL
Other
Enumeration date
07/25/2006
Last updated
08/09/2012
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