Individual
VICTORIA KUSIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3320 SHADY BND, FORT MYERS, FL 33905-6291
(239) 693-1655
(239) 693-1656
Mailing address
3320 SHADY BND, FORT MYERS, FL 33905-6291
(239) 693-1655
(239) 693-1656
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD018545E
PA
207RC0000X
Cardiovascular Disease Physician
Primary
ME92209
FL
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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