Individual
NICOLE KUSHMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1303 W KENNEDY BLVD, TAMPA, FL 33606-1848
(813) 893-6300
Mailing address
1303 W KENNEDY BLVD, TAMPA, FL 33606-1848
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
11047945
FL
Other
Enumeration date
07/29/2026
Last updated
07/29/2026
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