Organization
PALMTREE1, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CUSUMANO OD (MEMBER/MANAGER)
(813) 300-7839
Entity
Organization
Contact information
Practice address
178 E DAVIS BLVD, TAMPA, FL 33606-3514
(813) 300-7839
Mailing address
178 E DAVIS BLVD, TAMPA, FL 33606-3514
(813) 300-7839
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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