Individual
DR. FREDRIC CHUSSID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
201 N UNIVERSITY DR, STE 110, PLANTATION, FL 33324-2039
(954) 370-2400
(954) 370-2459
Mailing address
201 N UNIVERSITY DR, STE 110, PLANTATION, FL 33324-2039
(954) 370-2400
(954) 370-2459
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO 0001904
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390094100
—
FL
Enumeration date
01/04/2007
Last updated
01/30/2008
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