Organization
FUSION VASCULAR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FOLUSO FAKOREDE MD (PRESIDENT)
(888) 757-0838
Entity
Organization
Contact information
Practice address
800 PEARMAN AVE, CLEVELAND, MS 38732-3502
(888) 757-0838
(888) 796-1835
Mailing address
3001 PALM HARBOR BLVD STE A, PALM HARBOR, FL 34683-1930
(727) 474-0090
(727) 474-0055
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Enumeration date
11/25/2018
Last updated
11/25/2018
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