Individual
HAROLD F KUSHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2733
(386) 676-7103
Mailing address
350 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2733
(386) 676-7103
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0021322
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002361000
—
FL
01
—
1710946181
TRICARE
FL
01
—
64349
BCBS
FL
Enumeration date
03/22/2006
Last updated
06/26/2023
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